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
Fax: (845) 562-0147
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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