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1346073525
NICHOLAS IZZO
BRONX, NY
NPI
1346073525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 011335-01)
Enumeration Date
2024-08-22
Last Update Date
2024-08-22
Business Address
NICHOLAS IZZO Cota
66 VAN CORTLANDT PARK S
BRONX, NY 10463-3102
Phone number: 718-519-2800
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Mailing Address
NICHOLAS IZZO Cota
197 ELWOOD AVE
HAWTHORNE, NY 10532-2347
Phone number: 914-708-8790
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