Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL E RIDER, MD
Active Sole ProprietorRUSSELL E RIDER, MD is a Family Medicine healthcare provider located in LONG LAKE, New York. NPI 1245244649 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LONG LAKE, NY
Registration Details
- NPI Number
- 1245244649
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2006 (20.050824726746 yrs)
- Last Updated
- Sep 11, 2014
- License
-
1712651 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8561 NEWCOMB RDLONG LAKE, NY, 128470129Browse NY providers · Browse ZIP 12847
- Phone
- 5186242301
- Fax
- 5186242043
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.