Russell E Rider in Long Lake - Family Medicine
Russell E Rider - NPI 1245244649
Russell E Rider is a Family Medicine in Long Lake, New York. Russell E Rider practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Russell E Rider is 1245244649. The last update date is 2014-09-11.
Russell E Rider's current location address is Po Box 129, Long Lake, New York. You can contact this provider via phone number 5186242301 and fax number 5186242043. The mailing address for Russell E Rider is Po Box 129, Long Lake, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell E Rider |
|---|---|
| Address | Po Box 129, Long Lake, New York |
| Phone Number | 5186242301 |
| Fax Number | 5186242043 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245244649 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2014-09-11 |
Provider Mailing Address Detail
| Address | Po Box 129 |
|---|---|
| City | Long Lake |
| State | New York (NY) |
| Post Code | 128470129 |
| Phone Number | 5186242301 |
| Fax Number | 5186242043 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1712651 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1110874 | NY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Russell E Rider by the Centers for Medicare & Medicaid Services?
The Russell E Rider has been issued the NPI (National Provider Identifier) 1245244649. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Russell E Rider is located?
The Russell E Rider is situated at the following address: Po Box 129, Long Lake, NY, 128470129.
What is Russell E Rider's specialized field of practice, and what is the corresponding taxonomy classification code?
The Russell E Rider's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did the Russell E Rider receive its 1245244649?
The Russell E Rider was issued its 1245244649 on 2006-07-28, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Russell E Rider, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Russell E Rider, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-09-11.