| Gabriella Izzo, MD | |
|
6 Mountain Ledge, Gansevoort, NY 12831-2588 | |
| (518) 584-0355 | |
| (518) 583-7665 |
| Full Name | Gabriella Izzo |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 6 Mountain Ledge, Gansevoort, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922504653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 339922 (New York) | Primary |
| Entity Name | Prohealth Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriella Izzo, MD 6 Wellness Way Ste 201, Latham, NY 12110-2156 Ph: (518) 782-3700 | Gabriella Izzo, MD 6 Mountain Ledge, Gansevoort, NY 12831-2588 Ph: (518) 584-0355 |
Emanuel Cirenza, Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Laura Lecours, Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Stephanie E Jorgensen, MD FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Anne Marthy-noonan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Charles Richman, Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 | |
Amine F Gebremichael, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1299 Route 9, Gansevoort, NY 12831 Phone: 518-761-6961 Fax: 518-761-1006 | |
Dr. Claudia Farrell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Mountain Ledge, Gansevoort, NY 12831 Phone: 518-584-0355 Fax: 518-583-7665 |