Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thomas A Davenport, MD

Individual provider Specialist · NPI 1174583405

Thomas A Davenport, MD is a Plastic and Reconstructive Surgery in Garden City, New York. Graduated from Yale University School of Medicine in 1993, 33 years ago. Practices with Long Island Plastic Surgical Group, PC, a 39-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
33
Trained at
Yale University School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

999 Franklin Ave
Garden City, NY 11530-2913
Phone: (516) 742-3404
Fax: (516) 294-6942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 214557 (NY)

Record details

NPI number1174583405
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Long Island Plastic Surgical Group, Pc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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