Healthcare Provider Details
I. General information
NPI: 1609864305
Provider Name (Legal Business Name): PUTNAM IMAGING ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2005
Last Update Date: 09/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
670 STONELEIGH AVE
CARMEL NY
10512-3997
US
IV. Provider business mailing address
2501 OREGON PIKE SUITE 101
LANCASTER PA
17601-4890
US
V. Phone/Fax
- Phone: 845-279-5711
- Fax:
- Phone: 717-293-3223
- Fax: 717-390-2455
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARNOLD
D
NEWMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 845-279-5711