GREGORY IZZO (NPI# 1396106738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396106738 |
Entity Type | Individual |
Full Name | GREGORY IZZO |
Credential | DDS |
Practice Address |
1 Truman Way Cohoes NY 12047 |
Mailing Address |
1 Truman Way Cohoes NY 12047-4837 |
Practice Telephone | 5188928159 |
Mailing Telephone | 5188928159 |
Enumeration Date | 2016-03-13 |
Last Update Date | 2018-08-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
059882 | NY | Dental Providers |
Street Address |
1 TRUMAN WAY |
City | COHOES |
State | NY |
Zip Code | 12047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275983504 | Korrine Bethany Mcgough | Speech-Language Pathologist | Harmony Hill Elementary School, 120 Madeline Hickey Way, Cohoes, NY 12047 | 2016-06-17 |
1164826087 | Abbey Barnett | Registered Nurse | 245 Congress Street, Cohoes, NY 12047 | 2014-10-21 |
1609270669 | Anthony Derrico Sr. | Physical Therapy Assistant | 20 Summit Street, Cohoes, NY 12047 | 2014-10-20 |
1104141803 | Lori Virginia Augostini | Counselor | 21 Page Avenue, Cdpc- Page Avenue Clinic, Cohoes, NY 12047 | 2010-04-06 |
1578887253 | Jennifer Anne Doesburg | Counselor | 405 Viliet Blvd., Cohoes, NY 12047 | 2010-03-24 |
1144542788 | Andrea Lynn Stigliano | Pharmacist | 4b Central Avenue, Cohoes, NY 12047 | 2010-02-24 |
1801093265 | Cohoes Multi-service Senior Citizens Center, Inc. | Bus | 10 Cayuga Plaza, Cohoes, NY 12047 | 2007-06-29 |
1760691240 | Christina Marie Yox | Occupational Therapist | 421 W. Columbia Street, Cohoes, NY 12047 | 2007-05-22 |
1992922215 | Jerry Kriss | Counselor | 50 Remsen Street, Cohoes, NY 12047 | 2007-04-19 |
1184773525 | Michael Kowal | Dentist | 139 Remsen St, Suite 1, Cohoes, NY 12047 | 2007-01-08 |
Find all providers in zip 12047 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.