Organization
GLEN COVE FAMILY MEDICINE. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS RONALD RIZZO M.D. (MEMBER)
(516) 671-1351
Entity
Organization
Contact information
Practice address
29 GLEN COVE AVE, 108, GLEN COVE, NY 11542-2831
(516) 671-1351
Mailing address
70 GLEN ST, SUITE 104, GLEN COVE, NY 11542-2855
(516) 671-1351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2006
Last updated
08/30/2010
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