Individual
JORGE M DAVIDENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
134 HOMER AVE, CORTLAND, NY 13045-1206
(607) 756-3561
(607) 428-5142
Mailing address
134 HOMER AVE, PO BOX 628, CORTLAND, NY 13045-1206
(607) 756-3561
(607) 428-5142
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
196572
NY
207UN0901X
Nuclear Cardiology Physician
196572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01979708
—
NY
Enumeration date
09/27/2005
Last updated
03/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us