Individual
SURY M PUTCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 E MAIN ST, ENDICOTT, NY 13760-4816
(607) 785-2050
(607) 785-2034
Mailing address
201 E MAIN ST, ENDICOTT, NY 13760-4816
(607) 785-2050
(607) 785-2034
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
100032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100032
NY STATE LICENSE
NY
Enumeration date
04/03/2009
Last updated
04/03/2009
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