| Thomas Izquierdo Physician P.c. | |
|
37-57 91 St Jackson Heights NY 11372 | |
| (718) 779-7697 | |
| (718) 457-2402 |
| Full Name | Thomas Izquierdo Physician P.c. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 37-57 91 St, Jackson Heights, New York |
| Authorized Official Name and Position | Thomas J Izquierdo (PRESIDENT) |
| Authorized Official Contact | 7187797697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Izquierdo Physician P.c. 37-57 91 St Jackson Heights NY 11372 Ph: (718) 779-7697 | Thomas Izquierdo Physician P.c. 37-57 91 St Jackson Heights NY 11372 Ph: (718) 779-7697 |
| NPI Number | 1568313153 |
|---|---|
| Provider Enumeration Date | 02/09/2026 |
| Last Update Date | 02/19/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568313153 | NPI | - | NPPES |
| 01062922 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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