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Individual

ANTONIO IZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
340A MAIN ST, HUDSON FALLS, NY 12839-1530
(518) 747-4117
Mailing address
FAMILY PRACTICE OF HUDSON FALLS, PC, 340A MAIN STREET, HUDSON FALLS, NY 12839-1530
(518) 747-4117
(518) 747-9837

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F338125
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F338125
NEW YORK STATE LICENSE
NY
Enumeration date
03/26/2014
Last updated
03/08/2020
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