MEDICARE: GIPSY ISABEL HERRERA IZQUIERDO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	33841301	NY

General Provider Information

NPI Number	:	1427718576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIPSY ISABEL HERRERA IZQUIERDO MD

Provider Business Mailing Address
First Line	:	276 GRAND CONCOURSE APT 1117
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5852
Country	:	US
Telephone Number	:	347-465-3727
Fax Number	:

Provider Business Practice Location Address
First Line	:	3080 ATLANTIC AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-1268
Country	:	US
Telephone Number	:	718-647-0240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2021
Last Update Date	:	08/26/2025

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