Provider Demographics
NPI:1598992877
Name:IZZO, ERIN CHRISTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:CHRISTINE
Last Name:IZZO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 ALBANY TPKE STE 3A
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:CT
Mailing Address - Zip Code:06019-2571
Mailing Address - Country:US
Mailing Address - Phone:860-921-8945
Mailing Address - Fax:
Practice Address - Street 1:191 ALBANY TPKE STE 3A
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:CT
Practice Address - Zip Code:06019-2571
Practice Address - Country:US
Practice Address - Phone:860-921-8945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor