Davidian, Mary Elizabeth
Davidian, Mary Elizabeth is an individual health care provider with primary practice located at 140 Executive Dr , New Windsor NY 12553-5509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Davidian, Mary Elizabeth can be contacted via phone (845) 562-0138.Contact Information
Primary practice address
140 Executive Dr
New Windsor NY 12553-5509
Phone: (845) 562-0138
Fax: (845) 562-0147
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 186794 | New York |
Profile Details
NPI number | 1780683052 |
---|---|
LBN Legal business name | Davidian, Mary Elizabeth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2005 |
Last updated | Jun 17th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780683052 | NPPES |
New York | Other | 46382 | GHI HMO |
New York | Other | 69T112 | GHI HMO |
New York | Other | 4624157 | GHI HMO |
New York | Other | 0499062 | GHI HMO |
New York | MEDICAID | 1659392 | GHI HMO |
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