Provider Demographics
NPI:1023463767
Name:LRIZZO OCCUPATIONAL THERAPIST PLLC
Entity type:Organization
Organization Name:LRIZZO OCCUPATIONAL THERAPIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-282-0699
Mailing Address - Street 1:100 CEDAR ST
Mailing Address - Street 2:B35
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1016
Mailing Address - Country:US
Mailing Address - Phone:914-282-0699
Mailing Address - Fax:
Practice Address - Street 1:100 CEDAR ST APT B35
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1025
Practice Address - Country:US
Practice Address - Phone:914-282-0699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013113252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency