Izzo, Nickolas

Izzo, Nickolas is an individual health care provider with primary practice located at 5100 W Taft Rd Ste 1D , Liverpool NY 13088-3808. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Izzo, Nickolas can be contacted via phone (315) 744-1833.

Contact Information

Primary practice address
5100 W Taft Rd Ste 1D Liverpool NY 13088-3808
Phone: (315) 744-1833
Fax: (315) 452-2336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1558880815
LBN Legal business name Izzo, Nickolas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2017
Last updated Sep 18th, 2017 - about 9 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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