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1558880815
NICKOLAS IZZO
LIVERPOOL, NY
NPI
1558880815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-09-18
Last Update Date
2017-09-18
Business Address
NICKOLAS IZZO PA
5100 W TAFT RD STE 1D
LIVERPOOL, NY 13088-3808
Phone number: 315-744-1833
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Mailing Address
NICKOLAS IZZO PA
301 PROSPECT AVE RM 1605
SYRACUSE, NY 13203-1807
Phone number:
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