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COURTNEY ALYSSA PUTNAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
140 CANAL VIEW BLVD STE 102, ROCHESTER, NY 14623-2815
(585) 338-2700
Mailing address
140 CANAL VIEW BLVD STE 102, ROCHESTER, NY 14623-2815
(585) 338-2700

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
026720
NY
363AM0700X
Medical Physician Assistant
26720
NY

Other

Enumeration date
07/29/2021
Last updated
07/17/2023
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