National Provider Identifier
Kelsey Eleanor Izzo, MD
Kelsey Eleanor Izzo, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Brockport, NY and a listed phone number of (585) 376-3905.
Profile Overview
- NPI
- 1538592258
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- August 16, 2013
- Last Updated
- September 26, 2022
Practice Location
- 300 West Ave
- Brockport, NY 14420-1118
Phone: (585) 376-3905
Specialties
- Pediatrics Physician (208000000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1538592258
- Entity Type
- Individual
- Last Name
- Izzo
- First Name
- Kelsey
- Middle Name
- Eleanor
- Name Prefix
- MS.
- Credential
- MD
- Mailing Street Address
- 300 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1118
- Mailing Country
- US
- Mailing Phone
- (585) 376-3905
- Mailing Fax
- (585) 637-2375
- Practice Street Address
- 300 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1118
- Practice Country
- US
- Practice Phone
- (585) 376-3905
- Practice Fax
- (585) 637-2375
- Enumeration Date
- August 16, 2013
- Last Updated
- September 26, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 26, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X), Student in an Organized Health Care Education/Training Program (390200000X)