Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Putnam Physical Medicine & Rehabilitation PC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1851454847

Putnam Physical Medicine & Rehabilitation PC is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Mahopac, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

880 S Lake Blvd Ste 201
Mahopac, NY 10541-4771
Phone: (845) 628-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X · Licence 206144 (NY)

Record details

NPI number1851454847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorelei Davidson — President · (845) 628-2004
NPI enumeratedDecember 19, 2006
Last updated in NPPESAugust 30, 2016
Mailing address880 S Lake Blvd Ste 201, Mahopac, NY 10541-4771

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