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General NPI Number Information
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NPI Number | 1841969854
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Entity Type | Individual
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Provider Name | DR. CHRISTINE RIZZACASA
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Gender | Female
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 556B MIDDLE NECK RD
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City | GREAT NECK
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State | NY
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Zip | 11023-1463
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Country | US
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Telephone | 516-487-9810
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Fax | 516-773-7315
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Provider Business Mailing Address
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Address Line | 871 GRANT PL
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-1012
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Country | US
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Telephone | 516-417-3611
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 046148
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License Number State | NY
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