Provider Demographics
NPI:1831212265
Name:RIZZO, CARINA (MD)
Entity type:Individual
Prefix:DR
First Name:CARINA
Middle Name:
Last Name:RIZZO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CARINA
Other - Middle Name:HENDRICKSON
Other - Last Name:RIZZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:109 BROADWAY
Mailing Address - Street 2:APT 4
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-8661
Mailing Address - Country:US
Mailing Address - Phone:347-525-5721
Mailing Address - Fax:
Practice Address - Street 1:877 STEWART AVE STE 27
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4803
Practice Address - Country:US
Practice Address - Phone:516-745-0606
Practice Address - Fax:516-745-0679
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241318207R00000X, 390200000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program