National Provider Identifier
Courtney Alyssa Putnam, PA
Courtney Alyssa Putnam, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 338-2700.
Profile Overview
- NPI
- 1558034157
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 29, 2021
- Last Updated
- July 17, 2023
Practice Location
- 140 Canal View Blvd Ste 102
- Rochester, NY 14623-2815
Phone: (585) 338-2700
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
Endpoints
- cflotteron130850@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1558034157
- Entity Type
- Individual
- Last Name
- Putnam
- First Name
- Courtney
- Middle Name
- Alyssa
- Credential
- PA
- Provider Other Last Name
- Flotteron
- Provider Other First Name
- Courtney
- Provider Other Middle Name
- Alyssa
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 140 Canal View Blvd Ste 102
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-2815
- Mailing Country
- US
- Mailing Phone
- (585) 338-2700
- Practice Street Address
- 140 Canal View Blvd Ste 102
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2815
- Practice Country
- US
- Practice Phone
- (585) 338-2700
- Enumeration Date
- July 29, 2021
- Last Updated
- July 17, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)