Individual
MS. ELIZABETH ANNE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
260 TOMPKINS STREET, CORTLAND, NY 13045
(607) 756-9914
Mailing address
260 TOMPKINS STREET, CORTLAND, NY 13045
(607) 756-9914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
321718
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2020
Last updated
08/07/2024
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