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1467458133

NPI Code Detail

MEDICARE: ROLAND ROGER RIZZI MD

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

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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