License holder summary

RIDER RUSSELL EDWARD is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for RIDER RUSSELL EDWARD is LONG LAKE NY. This doctor license is current. The license was granted 07/29/1987 and expired on 02/29/2016.

New York

Office of the Professions

RIDER RUSSELL EDWARD
Medicine (Physician, Including M Ds & D Os)
License number
171265
Date granted
07/29/1987
Date expires
02/29/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
LONG LAKE NY
nymedicine.org
ID 30256825
LAST UPDATED 2021-10-18 22:29:40 UTC

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