Provider Demographics
NPI:1932333671
Name:RIZZO, JOHN-ROSS (JR RIZZO MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN-ROSS
Middle Name:
Last Name:RIZZO
Suffix:
Gender:M
Credentials:JR RIZZO MD
Other - Prefix:DR
Other - First Name:JR
Other - Middle Name:
Other - Last Name:RIZZO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:JR RIZZO
Mailing Address - Street 1:555 W 23RD ST
Mailing Address - Street 2:APART N10N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1011
Mailing Address - Country:US
Mailing Address - Phone:201-787-5959
Mailing Address - Fax:
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-5506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-10
Last Update Date:2009-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program