DR. MICHAEL RICHARD IZZO (NPI# 1508411810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508411810 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RICHARD IZZO |
| Credential | PHARMD |
| Practice Address |
104 Reservoir Rd Little Falls NY 13365-5924 |
| Practice Telephone | 3153603914 |
| Mailing Telephone | 3153603914 |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2019-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
065600 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093733115 | Michael A Izzo | Dentist | 1310 Warwick Ave, Lincoln Park, MI 48146-1721 | 2006-07-17 |
| 1710974985 | Michael A Izzo | Podiatrist | 1045 Wehrle Dr, Williamsville, NY 14221-7723 | 2005-10-04 |
| 1770077612 | Michael Izzo | Internal Medicine | 110 Irving St. Nw, Dept. of Ophthalmology, Washington, DC 20010 | 2018-06-14 |
| 1356621072 | Michael Izzo | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2011-08-25 |
| Street Address |
104 RESERVOIR RD |
| City | LITTLE FALLS |
| State | NY |
| Zip Code | 13365-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165492 | Meghan Katherine Luft | Physician Assistant | 170 Burwell Street, Little Falls, NY 13365 | 2019-10-09 |
| 1184132599 | Carrie Brandt | Occupational Therapist | 140 Nulls Rd, Little Falls, NY 13365 | 2018-01-19 |
| 1184148470 | Charles D Oblich Jr. | Taxi | 1203 Shells Bush Road, Little Falls, NY 13365 | 2017-07-28 |
| 1407230196 | Alicia Marie Bernier | Massage Therapist | 410 Canal Place, Little Falls, NY 13365 | 2015-07-13 |
| 1447452826 | Jennifer Nicole Sopko | Physician Assistant | 140 Burwell St., Little Falls, NY 13365 | 2007-06-05 |
| 1023130846 | Joseph P Steencken | Dentist | 29 N Ann Street, Little Falls, NY 13365 | 2007-04-04 |
| 1447355896 | Tri-county Medical, P.C. | Family Medicine | 175 West Main Street, Little Falls, NY 13365 | 2006-09-13 |
| 1164465217 | Herkimer-little Falls Radiology PC | Radiology | Little Falls Hospital, 140 Burwell St, Little Falls, NY 13365 | 2006-06-14 |
| 1285698399 | Peggy Hysack | Durable Medical Equipment & Medical Supplies | 389 West Main Street, Little Falls, NY 13365 | 2006-04-14 |
| 1841281110 | Alison Townsend | Physician Assistant | 140 Burwell Street, Little Falls, NY 13365 | 2005-11-04 |
| Find all providers in zip 13365 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241794 | Erika Modh | Pharmacist | 6220 11th Ave, Brooklyn, NY 11219-5204 | 2020-09-29 |
| 1457990657 | Hina Khawaja | Pharmacist | 24 E 24th St, Huntington Station, NY 11746-3702 | 2020-01-06 |
| 1306498100 | Cerris Chung | Pharmacist | 320 E 94th St # 3f, New York, NY 10128-5604 | 2019-07-11 |
| 1558922419 | Jennifer Sophia Orozco | Pharmacist | 1275 York Ave # 710, New York, NY 10065-6007 | 2019-06-21 |
| 1558846014 | Lisa Chu | Pharmacist | 14634 23rd Ave, Whitestone, NY 11357-3514 | 2018-10-01 |
| 1841772514 | Salvatore Oreste | Pharmacist | 32 Alder Dr, Kings Park, NY 11754-2202 | 2018-08-30 |
| 1184138885 | B&t Port Richmond Pharmacy Inc. | Pharmacist | 251 Port Richmond Ave, Staten Island, NY 10302-1704 | 2017-11-17 |
| 1922510072 | Robert O'connell | Pharmacist | 3840 211th St Fl 2, Bayside, NY 11361-1956 | 2017-10-30 |
| 1427577048 | Fawzieh Mourtada | Pharmacist | Rite Aid, 540 West 235th Street, Bronx, NY 10643 | 2017-09-14 |
| 1700303419 | Jason Jin Li | Pharmacist | 58 32 218st, Bayside, NY 11364 | 2017-08-23 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE FALLS |
| Zip Code | 13365 |
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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.