MEDICARE: ROLAND ROGER RIZZI 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	207L00000X	Anesthesiology Physician	ME145298	FL
2	207L00000X	Anesthesiology Physician	186225-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME145298	OTHER	FL	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467458133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLAND ROGER RIZZI MD

Provider Business Mailing Address
First Line	:	200 E 66TH ST APT B1106
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-0146
Country	:	US
Telephone Number	:	914-714-5981
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 E 77TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10075-1850
Country	:	US
Telephone Number	:	212-434-2878
Fax Number	:

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	11/10/2022

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Directions to “ ROLAND ROGER RIZZI MD” Practice Location

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