Provider Demographics
NPI:1932265972
Name:RIZZO, ATTILIO JR (LCSW-R,DSW)
Entity Type:Individual
Prefix:DR
First Name:ATTILIO
Middle Name:
Last Name:RIZZO
Suffix:JR
Gender:M
Credentials:LCSW-R,DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16034 86TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-3030
Mailing Address - Country:US
Mailing Address - Phone:646-522-1167
Mailing Address - Fax:
Practice Address - Street 1:16034 86TH ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-3030
Practice Address - Country:US
Practice Address - Phone:646-522-1167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR044838-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical