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Thomas A Davenport, MD
Specialist in Garden City, New York
NPI 1174583405

Thomas A Davenport is a Specialist based in Garden City, NY. Thomas A Davenport practices in Garden City, NY and has the professional credentials of MD. The NPI Number for Thomas A Davenport is 1174583405 and holds a License No. 214557 (New York).

The current practice location address for Thomas A Davenport is 999 Franklin Ave, Garden City, NY and can be reached out via phone at 516-742-3404 and via fax at 516-294-6942.

Location: 999 Franklin Ave, Garden City, NY, 11530-2913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174583405
Provider Name
Thomas A Davenport
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
999 Franklin Ave, Garden City, NY, 11530-2913
Phone Number
516-742-3404
Fax Number
516-294-6942
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02620253 05 NY
institution
Provider Business Practice Location Address Details
Address
999 Franklin Ave
City
Garden City
State
New York
Zip
11530-2913
Phone Number
516-742-3404
Fax Number
516-294-6942
person
Provider Business Mailing Address Details
Address
999 Franklin Ave
City
Garden City
State
New York
Zip
11530-2913
Phone Number
516-742-3404
Fax Number
516-294-6942
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
214557 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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