Individual
ANGELO IZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.R., B.C.D.
Contact information
Practice address
642 VANDERBILT ST, BROOKLYN, NY 11218-1258
(718) 633-8291
Mailing address
642 VANDERBILT ST, BROOKLYN, NY 11218-1258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R042679-1
NY
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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