Mary G Diana, MD | |
12 Avery Place, Avery Center For Obstetrics & Gynecology, Westport, CT 06880 | |
(203) 227-5125 | |
Not Available |
Full Name | Mary G Diana |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 12 Avery Place, Westport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962445684 | NPI | - | NPPES |
0667910001 | Other | NY | DME |
01659383 | Medicaid | NY | |
P00413156 | Other | NY | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 56749 (Connecticut) | Primary |
207V00000X | Obstetrics & Gynecology | 200058 (New York) | Secondary |
Entity Name | Crystal Run Healthcare Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952376410 PECOS PAC ID: 6901792696 Enrollment ID: O20040227000791 |
Entity Name | Obgyn Hospitalist Medical Services Of New York Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518285055 PECOS PAC ID: 9830379759 Enrollment ID: O20110210000282 |
Mailing Address | Practice Location Address |
---|---|
Mary G Diana, MD 16 Georgetown N, Greenwich, CT 06831-5235 Ph: (845) 325-6127 | Mary G Diana, MD 12 Avery Place, Avery Center For Obstetrics & Gynecology, Westport, CT 06880 Ph: (203) 227-5125 |
Elizabeth Sauter, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12 Avery Pl, Avery Center For Ob Gyn, Westport, CT 06880 Phone: 203-227-5125 Fax: 203-222-7180 | |
Dr. Marc P Storch, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 156 Kings Highway N, Westport, CT 06880 Phone: 203-226-1243 Fax: 203-226-6249 | |
Robert Goldberg, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12 Avery Pl, Avery Center For Ob Gyn, Westport, CT 06880 Phone: 203-227-5125 Fax: 203-222-7180 | |
Dr. Melissa Taylor-giorlando, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12 Avery Pl, Westport, CT 06880 Phone: 203-227-5125 | |
Dr. Joao Feldman Correia De Pinho, MD, FACOG Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12 Daybreak Ln, Westport, CT 06880 Phone: 475-277-0737 Fax: 475-277-0737 | |
Marjorie Szeto, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 12 Avery Pl, Avery Center Ob Gyn, Westport, CT 06880 Phone: 203-227-5125 Fax: 203-222-7180 | |
David B Seifer, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 125a Kings Highway N, Yale University - Ob/gyn Reproductive Endocrinology, Westport, CT 06880 Phone: 203-341-8899 |