Organization
IRA DAVENPORT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SMITH (CFO)
(607) 776-8508
Entity
Organization
Contact information
Practice address
7571 STATE ROUTE 54, BATH, NY 14810-9504
(607) 776-8931
(607) 776-8800
Mailing address
7571 STATE ROUTE 54, BATH, NY 14810-9504
(607) 776-8931
(607) 776-8800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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