Individual
MS. ELYSE PUTORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
310 TAUGHANNOCK BLVD, SUITE 5A, ITHACA, NY 14850-3251
(607) 252-3580
(607) 252-3971
Mailing address
304 MINEAH RD, FREEVILLE, NY 13068-9622
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002203-1
NY
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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