Provider Demographics
NPI:1326066598
Name:PUTTERMAN, ERIC ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ARTHUR
Last Name:PUTTERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1800 WALT WHITMAN RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3099
Mailing Address - Country:US
Mailing Address - Phone:631-293-9540
Mailing Address - Fax:631-293-9539
Practice Address - Street 1:1800 WALT WHITMAN RD
Practice Address - Street 2:SUITE 120
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3099
Practice Address - Country:US
Practice Address - Phone:631-293-9540
Practice Address - Fax:631-293-9539
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2012-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY146792-1207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY30-0483030OtherITIN
D91692Medicare UPIN