Individual
DAMIAN IZQUIERDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
716 FAIRMOUNT PL, BRONX, NY 10457-6405
(718) 731-3500
Mailing address
271 E 143RD ST APT 1H, BRONX, NY 10451-6236
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35968
NY
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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