Doctor Name: | JUSTIN GEOFFREY RIZZO |
NPI Number: | 1760635064 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C., CSCS |
License Number: | 3968 |
Business Practice Address: | 3 Dwight Ave Clinton, NY - 133231613 |
Business Phone Number: | 3155259393 |
Business Fax Number: | |
Mailing Address: | 3 Dwight Ave, CLINTON |
State: | NY |
Postal Code: | 133231613 |
Phone Number: | 3155259393 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2008 |
NPI Last Update Date: | 01/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3968 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |