Provider Demographics
NPI:1386692457
Name:RIZK, TOUFIC ASSAAD (MD)
Entity type:Individual
Prefix:
First Name:TOUFIC
Middle Name:ASSAAD
Last Name:RIZK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1561 LONG POND RD
Mailing Address - Street 2:SUITE 406
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4117
Mailing Address - Country:US
Mailing Address - Phone:585-723-7060
Mailing Address - Fax:585-723-7325
Practice Address - Street 1:1561 LONG POND RD
Practice Address - Street 2:SUITE 406
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4117
Practice Address - Country:US
Practice Address - Phone:585-723-7060
Practice Address - Fax:585-723-7325
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1880332086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01488100Medicaid
NYJ400011489/GP 70008AMedicare PIN
NYJ400011486/GP BA0017Medicare PIN