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Organization
RUSSELL E RIDER, MD
Active
Organization
RUSSELL E RIDER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL E RIDER MD (MD)
(518) 582-2991
Entity
Organization
Contact information
Practice address
4 SANTANONI DR, NEWCOMB, NY 12852-1913
(518) 582-2991
Mailing address
4 SANTANONI DR, NEWCOMB, NY 12852-1913
(518) 582-2991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1712652
—
Other
Enumeration date
04/29/2008
Last updated
07/02/2008
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