Individual
NATHAN M DEVENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 RED JACKET ST, DANSVILLE, NY 14437
(585) 335-5200
(585) 335-8579
Mailing address
PO BOX 499, DANSVILLE, NY 14437
(585) 335-5200
(585) 335-8579
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.074934
IL
208000000X
Pediatrics Physician
324545
NY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
324545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07757459
—
NY
Enumeration date
03/23/2019
Last updated
04/03/2026
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