| Russell E Rider, Md | |
|
4 Santanoni Dr Newcomb NY 12852-1913 | |
| (518) 582-2991 | |
| Not Available |
| Full Name | Russell E Rider, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 4 Santanoni Dr, Newcomb, New York |
| Authorized Official Name and Position | Russell E Rider (MD) |
| Authorized Official Contact | 5185822991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell E Rider, Md 4 Santanoni Dr Newcomb NY 12852-1913 Ph: (518) 582-2991 | Russell E Rider, Md 4 Santanoni Dr Newcomb NY 12852-1913 Ph: (518) 582-2991 |
| NPI Number | 1346415387 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346415387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1712652 (* (Not Available)) | Primary |