Individual
MS. KELSEY ELEANOR IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 376-3905
(585) 637-2375
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 376-3905
(585) 637-2375
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
296881
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2013
Last updated
09/26/2022
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