Organization
CAVALLO ORTHOPEDICS AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL CAVALLO MD (OWNER)
(914) 481-4444
Entity
Organization
Contact information
Practice address
90 S RIDGE ST, SUITE UL-1, RYE BROOK, NY 10573-2867
(914) 481-4444
(914) 481-4600
Mailing address
90 S RIDGE ST, SUITE UL-1, RYE BROOK, NY 10573-2867
(914) 481-4444
(914) 481-4600
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
196211
NY
Other
Enumeration date
04/18/2012
Last updated
05/10/2012
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