Cavallo, Russell J
Cavallo, Russell J is an individual health care provider with primary practice located at 90 S Ridge St Suite Ul-1, Rye Brook NY 10573-2867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Cavallo, Russell J can be contacted via phone (914) 708-1111.Contact Information
Primary practice address
90 S Ridge St Suite Ul-1
Rye Brook NY 10573-2867
Phone: (914) 708-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 196211 | New York |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 038069 | Connecticut |
Profile Details
| NPI number | 1023011327 |
|---|---|
| LBN Legal business name | Cavallo, Russell J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Oct 4th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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