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Individual

JOSEPH T IZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7810 13TH AVE, BROOKLYN, NY 11228-2702
(718) 256-5440
Mailing address
7810 13TH AVE, BROOKLYN, NY 11228-2702
(718) 256-5440

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
031321
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2405145
NY
Enumeration date
10/31/2006
Last updated
12/26/2023
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