Organization
THOMAS IZQUIERDO PHYSICIAN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J IZQUIERDO M.D. (PRESIDENT)
(718) 779-7697
Entity
Organization
Contact information
Practice address
37-57 91 ST, JACKSON HEIGHTS, NY 11372
(718) 779-7697
(718) 457-2402
Mailing address
37-57 91 ST, JACKSON HEIGHTS, NY 11372
(718) 779-7697
(718) 457-2402
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01062922
—
NY
Enumeration date
02/09/2026
Last updated
02/19/2026
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