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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORGE M DAVIDENKO, MD FACC

Active

JORGE M DAVIDENKO, MD FACC is a Cardiovascular Disease healthcare provider located in CORTLAND, New York. NPI 1215923990 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · CORTLAND, NY

Registration Details

NPI Number
1215923990
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2005 (20.916078947777 yrs)
Last Updated
Mar 8, 2021
Licenses
196572 (NY)
196572 (NY)

Practice Information

Address
134 HOMER AVE
CORTLAND, NY, 130451206
Browse NY providers · Browse ZIP 13045
Phone
6077563561
Fax
6074285142
Primary Specialty
Cardiovascular Disease
207RC0000X
Additional Specialty
Cardiovascular Disease

Other Cardiovascular Disease Providers in CORTLAND, NY

Name Credential NPI
DR. JARED MICHAEL WIDELL MD 1417994716
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.