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1497875454
FREDERICK IZZO
HUNTINGTON, NY
NPI
1497875454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 006299)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
MR. FREDERICK IZZO
68 NASSAU RD
HUNTINGTON, NY 11743-3526
Phone number: 631-423-5590
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Mailing Address
MR. FREDERICK IZZO
200 PIPING ROCK RD
LOCUST VALLEY, NY 11560-2509
Phone number:
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