Individual
TIMOTHY H IZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5719 WIDEWATERS PKWY, DE WITT, NY 13214-1880
(315) 251-3100
(315) 449-9923
Mailing address
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214-1880
(315) 251-3100
(315) 449-9923
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
177226
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
177226
NY
Other
Enumeration date
04/25/2006
Last updated
04/06/2018
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