| Dr Mary Elizabeth Davidian, MD | |
|
140 Executive Dr, New Windsor, NY 12553-5509 | |
| (845) 562-0138 | |
| (845) 562-0147 |
| Full Name | Dr Mary Elizabeth Davidian |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 35 Years |
| Location | 140 Executive Dr, New Windsor, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780683052 | NPI | - | NPPES |
| 46382 | Other | NY | GHI HMO |
| 69T112 | Other | NY | EMPIRE BC |
| 4624157 | Other | AETNA INSURANCE | |
| 0499062 | Other | NY | GHI |
| 1659392 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 186794 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Cornwall Hospital | Newburgh, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highland Ophthalmology Associates Llc | 4284526203 | 4 |
| Entity Name | The New York Eye & Ear Infirmary Ophthalmology Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811931041 PECOS PAC ID: 9032007968 Enrollment ID: O20040310000872 |
| Entity Name | Highland Ophthalmology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184796591 PECOS PAC ID: 4284526203 Enrollment ID: O20040325001261 |
| Entity Name | Eastern Orange Ambulatory Surgery Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1568583896 PECOS PAC ID: 5799866570 Enrollment ID: O20080117000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Elizabeth Davidian, MD 140 Executive Dr, New Windsor, NY 12553-5509 Ph: (845) 562-0138 | Dr Mary Elizabeth Davidian, MD 140 Executive Dr, New Windsor, NY 12553-5509 Ph: (845) 562-0138 |
Thien Thanh Huynh, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 140 Executive Drive, Suite 300, New Windsor, NY 12553 Phone: 845-562-0138 Fax: 845-562-0147 |