Dr THOMAS A DAVENPORT MD is a male medical professional, specializing in Plastic And Reconstructive Surgery. He graduated in 1993 from Yale University School Of Medicine.
LONG ISLAND PLASTIC SURGICAL GROUP, PC
999 FRANKLIN AVE
SUITE 300
GARDEN CITY
NY
115302913
Tel: 5165356778
| Npi | 1174583405 |
| Pac Id | 5294754388 |
| Professional Enrollment Id | I20051117000717 |
| Last Name | DAVENPORT |
| First Name | THOMAS |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
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| Organization Legal Name | LONG ISLAND PLASTIC SURGICAL GROUP, PC |
| Group Practice Pac Id | 1153340054 |
| Number Of Group Practice Members | 32 |
| Line 1 Street Address | 999 FRANKLIN AVE |
| Line 2 Street Address | SUITE 300 |
| Marker Of Address Line 2 Suppression | |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 115302913 |
| Phone Number | 5165356778 |
| Hospital Affiliation Ccn 1 | 330167 |
| Hospital Affiliation Lbn 1 | NYU WINTHROP HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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