Bizzaro, Thomas A

Bizzaro, Thomas A is an sole proprietor health care provider with primary practice located at 9116 158Th Ave , Howard Beach NY 11414-3126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bizzaro, Thomas A can be contacted via phone (718) 738-7732.

Contact Information

Primary practice address
9116 158Th Ave Howard Beach NY 11414-3126
Phone: (718) 738-7732
Fax: (718) 835-3166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 137491 New York

Profile Details

NPI number 1518955384
LBN Legal business name Bizzaro, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated Feb 15th, 2012 - about 13 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 1518955384 NPPES
Other 53A361 BS
MEDICAID 00597764 BS
Other 4338613 BS

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