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Organization
MOHAWK VALLEY ORTHOPEDICS, P.C.
Active
Organization
MOHAWK VALLEY ORTHOPEDICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL N.A. CECIL, M.D. (PRESIDENT)
(518) 842-2663
Entity
Organization
Contact information
Practice address
5010 STATE HIGHWAY 30 STE 205, AMSTERDAM, NY 12010-7532
(518) 842-2663
(518) 842-4861
Mailing address
5010 STATE HIGHWAY 30 STE 205, AMSTERDAM, NY 12010-7532
(518) 842-2663
(518) 842-4861
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02049750
—
NY
01
—
1578577417
MEDICARE RAILROAD
NY
Enumeration date
07/28/2006
Last updated
07/06/2023
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