Individual
RUSSELL N.A. CECIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
5010 STATE HIGHWAY 30, SUITE 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
207X00000X
Orthopaedic Surgery Physician
Primary
160800-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00867616
—
NY
Enumeration date
10/25/2005
Last updated
07/27/2010
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