| Izzy Health, Pllc | |
|
600 Green Valley Rd Ste 208 Greensboro NC 27408-7722 | |
| (336) 549-8334 | |
| (336) 860-1981 |
| Full Name | Izzy Health, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 600 Green Valley Rd Ste 208, Greensboro, North Carolina |
| Authorized Official Name and Position | Vincent Izediuno (OWNER) |
| Authorized Official Contact | 3365498334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Izzy Health, Pllc 600 Green Valley Rd Ste 208 Greensboro NC 27408-7722 Ph: (336) 549-8334 | Izzy Health, Pllc 600 Green Valley Rd Ste 208 Greensboro NC 27408-7722 Ph: (336) 549-8334 |
| NPI Number | 1699270256 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Medicare PECOS PAC ID | 5698021483 |
|---|---|
| Medicare Enrollment ID | O20180710000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699270256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (North Carolina) | Primary |
| Provider Name | Vincent Izediuno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396078549 PECOS PAC ID: 6103083647 Enrollment ID: I20161214001439 |
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