Izquierdo, Thomas J

Izquierdo, Thomas J is an sole proprietor health care provider with primary practice located at 3757 91St St , Jackson Heights NY 11372-7901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Izquierdo, Thomas J can be contacted via phone (718) 779-7697.

Contact Information

Primary practice address
3757 91St St Jackson Heights NY 11372-7901
Phone: (718) 779-7697
Fax: (718) 457-2402
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 156124 New York

Profile Details

NPI number 1649369554
LBN Legal business name Izquierdo, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 17 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 1649369554 NPPES
New York MEDICAID 01062922

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