Individual
BETH HOLLY RIZOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 RAVENWOOD DRIVE, KINGS PARK, NY 11754
(631) 724-5411
Mailing address
5 RAVENWOOD DR, KINGS PARK, NY 11754-2924
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1189301
NY
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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