Individual
DR. BRENDA J DAVIES-WAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3259
(607) 547-3259
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-6543
(607) 547-3259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
219178
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02215709
—
NY
Enumeration date
03/31/2006
Last updated
02/19/2008
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