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General NPI Number Information
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NPI Number | 1851942452
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Entity Type | Individual
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Provider Name | JANINE RIZZO PHD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 7559 263RD ST
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City | GLEN OAKS
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State | NY
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Zip | 11004-1150
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Country | US
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Telephone | 516-815-3125
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 PINE VALLEY RD
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City | OYSTER BAY
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State | NY
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Zip | 11771-4403
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Country | US
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Telephone | 516-815-3125
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 020702-1
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License Number State | NY
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