Individual
DR. MARY ELIZABETH DAVIDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 EXECUTIVE DR, NEW WINDSOR, NY 12553-5509
(845) 562-0138
(845) 562-0147
Mailing address
140 EXECUTIVE DR, NEW WINDSOR, NY 12553-5509
(845) 562-0138
(845) 562-0147
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
186794
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0499062
GHI
NY
05
—
1659392
—
NY
01
—
4624157
AETNA INSURANCE
—
01
—
46382
GHI HMO
NY
01
—
69T112
EMPIRE BC
NY
Enumeration date
07/19/2005
Last updated
06/17/2010
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