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NPI Code Detail

MEDICARE: JOHN RIZZO M.D.

MEDICARE: JOHN RIZZO M.D.
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
1207RG0100XGastroenterology Physician198093NY

General Provider Information

NPI Number : 1720081813
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN RIZZO M.D.
Provider Business Mailing Address
First Line : 1991 MARCUS AVE
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11042-2057
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1991 MARCUS AVE
Second Line : SUITE 101
City : NEW HYDE PARK
State : NY
Zip : 11042-2058
Country : US
Telephone Number : 516-365-4949
Fax Number : 516-365-5462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 03/26/2021

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