Provider Demographics
NPI:1790895209
Name:RIZK, CIRIL CHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CIRIL
Middle Name:CHRISTIAN
Last Name:RIZK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 E 89TH ST
Mailing Address - Street 2:APT.# 15B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1251
Mailing Address - Country:US
Mailing Address - Phone:212-289-8280
Mailing Address - Fax:212-289-6011
Practice Address - Street 1:45 E 89TH ST
Practice Address - Street 2:#15B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1251
Practice Address - Country:US
Practice Address - Phone:646-220-2227
Practice Address - Fax:212-289-6011
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY169660207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001202039OtherMEDICARE RR PIN
NY02156912Medicare ID - Type Unspecified
821911Medicare PIN
NYG97622Medicare UPIN