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1427053248
RUSSELL A ACEVEDO
SYRACUSE, NY
NPI
1427053248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207RC0200X Internal Medicine Critical Care Medicine
(Licence: NY 145224)
Enumeration Date
2005-06-17
Last Update Date
2007-07-08
Business Address
RUSSELL A ACEVEDO MD
736 IRVING AVE
SYRACUSE, NY 13210-1687
Phone number: 315-470-7186
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Mailing Address
RUSSELL A ACEVEDO MD
PO BOX 2004
EAST SYRACUSE, NY 13057-4504
Phone number: 315-362-5285
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