Provider Demographics
NPI:1447553219
Name:RAYMOND A RIZZUTI M.D.P.C.
Entity type:Organization
Organization Name:RAYMOND A RIZZUTI M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:RIZZUTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-625-4443
Mailing Address - Street 1:160 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2503
Mailing Address - Country:US
Mailing Address - Phone:718-625-4443
Mailing Address - Fax:718-625-4478
Practice Address - Street 1:160 HENRY ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2503
Practice Address - Country:US
Practice Address - Phone:718-625-4443
Practice Address - Fax:718-625-4478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty