Individual
RUSSELL A ACEVEDO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7186
(315) 470-2990
Mailing address
PO BOX 2004, EAST SYRACUSE, NY 13057-4504
(315) 362-5285
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
145224
NY
Other
Enumeration date
06/17/2005
Last updated
07/08/2007
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