Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 004907 | NY |
Y | 222Z00000X | Podiatrist | 004907 | NY |
NPI | 1033159512 |
---|---|
Provider Name | Dr. John Charles Rizzo |
First Address | Rochester, NY 14612-4861 |
Second Address | Rochester, NY 14620-4645 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 06/02/2008 |