Russell E Rider, Md | |
4 Santanoni Dr Newcomb NY 12852-1913 | |
(518) 582-2991 | |
Not Available |
Full Name | Russell E Rider, Md |
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Speciality | Family Medicine |
Location | 4 Santanoni Dr, Newcomb, New York |
Authorized Official Name and Position | Russell E Rider (MD) |
Authorized Official Contact | 5185822991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Russell E Rider, Md 4 Santanoni Dr Newcomb NY 12852-1913 Ph: (518) 582-2991 | Russell E Rider, Md 4 Santanoni Dr Newcomb NY 12852-1913 Ph: (518) 582-2991 |
NPI Number | 1346415387 |
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Provider Enumeration Date | 04/29/2008 |
Last Update Date | 07/02/2008 |
Identifier | Type | State | Issuer |
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1346415387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 1712652 (* (Not Available)) | Primary |