Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F304518 | NY |
NPI | 1013210657 |
---|---|
Provider Name | Hilary Joy Rizzo |
First Address | Cedarhurst, NY 11516-1104 |
Second Address | Bronx, NY 10469-6016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2010 |
Last Update Date | 20/12/2010 |