NPI 1215923990

Jorge M Davidenko, MDFACC

Practitioner Cardiovascular Disease Physician Cortland, NY

Practice location

Address: 134 Homer Ave, Cortland, NY 13045-1206
Phone: (607) 756-3561
Fax: (607) 428-5142
Mailing address: 134 Homer Ave PO Box 628, Cortland, NY 13045-1206

Registered specialties (2)

Cardiovascular Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X Licence 196572 (NY)

Other Internal Medicine providers in New York →

Nuclear Cardiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207UN0901X Licence 196572 (NY)

Other Nuclear Medicine providers in New York →

Registry record

NPI: 1215923990
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2005
Record last updated: 8 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.