NPI 1265579213

Putnam Medical Services

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Mahopac, NY

Practice location

Address: 880 S Lake Blvd Suite 1, Mahopac, NY 10541-4771
Phone: (845) 628-2004
Fax: (845) 628-2059
Mailing address: PO Box 1071, Baldwin Place, NY 10505-8071

Authorised official

Name: Lorelei Davidson
Title: President
Phone: (845) 628-2004

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 206144 (NY)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in New York →

Registry record

NPI: 1265579213
Entity type: Organization
NPI issued: 31 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.