| Vadim Davydov, DO | |
|
2 Titus Pl, Walton, NY 13856-1455 | |
| (607) 865-2400 | |
| (607) 865-2406 |
| Full Name | Vadim Davydov |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2 Titus Pl, Walton, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538264346 | NPI | - | NPPES |
| 02489834 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 223297 (New York) | Primary |
| Entity Name | Delaware Valley Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144312646 PECOS PAC ID: 2860388337 Enrollment ID: O20040223001307 |
| Entity Name | Essen Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885 |
| Entity Name | Essen Medical Urgicare, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903 |
| Entity Name | Delaware Valley Hospital Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1417940719 PECOS PAC ID: 2860388337 Enrollment ID: O20210611000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Vadim Davydov, DO 2 Titus Pl, Walton, NY 13856-1455 Ph: (607) 865-2400 | Vadim Davydov, DO 2 Titus Pl, Walton, NY 13856-1455 Ph: (607) 865-2400 |
Dr. Michael J Freeman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400 | |
Peter Yang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400 Fax: 607-865-7305 | |
Valentina Davydov, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400 Fax: 607-865-7305 | |
Eric A Dohner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Franklin Rd, Walton, NY 13856 Phone: 607-865-5800 | |
Dove Cai, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400 | |
Dr. Luis Francisco Rodriguez-betancourt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 42 Griswold St, Walton, NY 13856 Phone: 607-865-6867 Fax: 607-865-5446 |