Individual
DEBORAH DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 S JERSEY AVE UNIT 16, EAST SETAUKET, NY 11733-2036
(631) 689-6400
Mailing address
900 MERCHANTS CONCOURSE STE 216, WESTBURY, NY 11590-5114
(516) 226-8373
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
136738
NY
207VG0400X
Gynecology Physician
136738
NY
207VX0000X
Obstetrics Physician
136738
NY
Other
Enumeration date
10/27/2006
Last updated
12/03/2019
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