Izzo, Michael A

Izzo, Michael A is an individual health care provider with primary practice located at 1045 Wehrle Dr , Williamsville NY 14221-7723. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Izzo, Michael A can be contacted via phone (716) 688-1464.

Contact Information

Primary practice address
1045 Wehrle Dr Williamsville NY 14221-7723
Fax: (716) 688-1465
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N3338-1 New York

Profile Details

NPI number 1710974985
LBN Legal business name Izzo, Michael A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710974985 NPPES
New York MEDICAID 00856551
New York Other MI086515
New York Other 000508651005

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