Provider Demographics
NPI:1841969854
Name:RIZZACASA, CHRISTINE
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:RIZZACASA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:871 GRANT PL
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1012
Mailing Address - Country:US
Mailing Address - Phone:516-417-3611
Mailing Address - Fax:
Practice Address - Street 1:556B MIDDLE NECK RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11023-1463
Practice Address - Country:US
Practice Address - Phone:516-487-9810
Practice Address - Fax:516-773-7315
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0461482251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic