Provider Demographics
NPI:1205432242
Name:RIZZUTI, ADAM GENE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:GENE
Last Name:RIZZUTI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 LYNN ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-5334
Mailing Address - Country:US
Mailing Address - Phone:718-451-6083
Mailing Address - Fax:
Practice Address - Street 1:2900 VETERANS RD W
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-2502
Practice Address - Country:US
Practice Address - Phone:718-701-6206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-06
Last Update Date:2020-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063611183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist