Putnam Medical Services

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

206144 Issued in NY

Legal business name

PUTNAM MEDICAL SERVICES

Practice address

880 S Lake Blvd
Suite 1
Mahopac, NY 10541-4771

Phone

(845) 628-2004

Fax

(845) 628-2059

NPI assigned

Jan 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lorelei Davidson, MDNPI 1205883857

Title

President

Phone

(845) 628-2004

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorelei Davidson, MD

  • Physical Medicine & Rehabilitation Physician
  • Mahopac, NY
  • NPI 1205883857
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265579213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "BALDWIN PLACE",
            "state": "NY",
            "postal_code": "105058071",
            "telephone_number": "845-628-2004",
            "fax_number": "845-628-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S LAKE BLVD",
            "address_2": "SUITE 1",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414771",
            "telephone_number": "845-628-2004",
            "fax_number": "845-628-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUTNAM MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "LORELEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-628-2004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "206144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dahley Dawnn Pritchard
• Proactive Physical Therapy, PC
• Adriana A Puccio, MS
• Emily Grace Pupovic
• Putnam County Chapter, Nysarc, Inc.
• Putnam Physical Medicine & Rehabilitation PC
• Micaiah Mary Quarcoo, LCSW
• Denise Lynn Quartararo, R.N.
• Sandra Quevedo, LCSW
• Lisa Westfall Quigley, LCSW R

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Mahopac, NY
• Providers in Mahopac, NY by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.