Individual
MR. BRIAN MICHAEL IZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
7701 TOTMAN RD, NORTH SYRACUSE, NY 13212-1841
(315) 466-3550
Mailing address
7701 TOTMAN RD, NORTH SYRACUSE, NY 13212-1841
(315) 466-3550
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300926-1
NY
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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