Organization
PUTNAM MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORELEI DAVIDSON MD (PRESIDENT)
(845) 628-2004
Entity
Organization
Contact information
Practice address
880 S LAKE BLVD, SUITE 1, MAHOPAC, NY 10541-4771
(845) 628-2004
(845) 628-2059
Mailing address
PO BOX 1071, BALDWIN PLACE, NY 10505-8071
(845) 628-2004
(845) 628-2059
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
206144
NY
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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