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Individual

DR. CHRISTOPHER J RIZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4523
(518) 952-8142
Mailing address
79 GLENRIDGE RD, ATTN BUSINESS OFFICE FOR MEDICAID, GLENVILLE, NY 12302-4523
(518) 952-8142

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
230421
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1538180351
NY
Enumeration date
07/05/2006
Last updated
11/27/2018
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