National Provider Identifier
Misty Putnam, PA-C
Misty Putnam, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 427-7760.
Profile Overview
- NPI
- 1396381000
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 18, 2019
- Last Updated
- April 02, 2024
Practice Location
- 2021 Winton RD S
- Rochester, NY 14618-3998
Phone: (585) 427-7760
Mailing Address
- 110 W 6Th St
- Oswego, NY 13126-2598
Specialties
- Physician Assistant (363A00000X)
- Hematology & Oncology Physician (207RH0003X)
Full Record
- NPI
- 1396381000
- Entity Type
- Individual
- Last Name
- Putnam
- First Name
- Misty
- Name Prefix
- MS.
- Credential
- PA-C
- Mailing Street Address
- 110 W 6Th St
- Mailing City
- Oswego
- Mailing State
- NY
- Mailing ZIP Code
- 13126-2598
- Mailing Country
- US
- Practice Street Address
- 2021 Winton RD S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-3998
- Practice Country
- US
- Practice Phone
- (585) 427-7760
- Enumeration Date
- November 18, 2019
- Last Updated
- April 02, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 02, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Hematology & Oncology Physician (207RH0003X)