Organization
CAVALLO ORTHOPEDICS AND SPORTS MEDICINE LLC
Active
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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