Individual provider · Type 1 NPI
Ada C. Izquierdo, P.A.
Medical Physician Assistant · Bronx, NY
NPI number
1609133370
Active
Practice location
111 E 210th St
Bronx, NY 10467-2401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 015416 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1609133370
Ada C. Izquierdo, P.A.'s National Provider Identifier is 1609133370, issued on Apr 18, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Apr 18, 2012.