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General NPI Number Information
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NPI Number | 1902483431
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Entity Type | Individual
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Provider Name | ANNA P IZZO
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Gender | Female
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 10202 QUEENS BLVD
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City | FOREST HILLS
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State | NY
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Zip | 11375-3197
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Country | US
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Telephone | 718-830-0246
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Fax |
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Provider Business Mailing Address
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Address Line | 18835D 71ST CRES
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-5049
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Country | US
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Telephone | 518-368-9796
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 099528
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 101253
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License Number State | NY
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