Provider Demographics
NPI:1023046406
Name:IOZZIO, JOHN (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:IOZZIO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1906
Mailing Address - Country:US
Mailing Address - Phone:718-788-5003
Mailing Address - Fax:718-788-2214
Practice Address - Street 1:346 1ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1906
Practice Address - Country:US
Practice Address - Phone:718-788-5003
Practice Address - Fax:718-788-2214
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2513111N00000X
NY281171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCO-2513-2BOtherWORKMAN COMPENCATION
NYX14751Medicare ID - Type Unspecified
NYCO-2513-2BOtherWORKMAN COMPENCATION