Individual
MISS MARY BETH PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 ARMORY DR, UTICA, NY 13501-5405
(315) 798-4006
Mailing address
5587 SHED RD, ROME, NY 13440-8046
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
05/24/2013
Last updated
07/21/2022
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