Individual
NEAL PUTHUMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7828
(315) 470-5811
Mailing address
PO BOX 2000, EAST SYRACUSE, NY 13057-4500
(315) 362-5129
(315) 362-5179
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
255138
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03166685
—
NY
01
—
P00814292
RAILROAD MEDICARE
—
Enumeration date
02/05/2009
Last updated
08/03/2010
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