Provider Demographics
NPI:1033475215
Name:IZZANO, JAMES CRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CRISTOPHER
Last Name:IZZANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:700 S PERRY ST
Mailing Address - Street 2:JOHNSTOWN OB/GYN HEALTH CENTER
Mailing Address - City:JOHNSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12095-3213
Mailing Address - Country:US
Mailing Address - Phone:518-736-1004
Mailing Address - Fax:518-762-8829
Practice Address - Street 1:700 S PERRY ST
Practice Address - Street 2:JOHNSTOWN OB/GYN HEALTH CENTER
Practice Address - City:JOHNSTOWN
Practice Address - State:NY
Practice Address - Zip Code:12095-3213
Practice Address - Country:US
Practice Address - Phone:518-736-1004
Practice Address - Fax:518-762-8829
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY285481207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program