Healthcare Provider Details

I. General information

NPI: 1386264927
Provider Name (Legal Business Name): ERIN ANN DAVIDOWICZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK ST
NEW HAVEN CT
06510-3220
US

IV. Provider business mailing address

1198 NEW HAVEN AVE
MILFORD CT
06460-6949
US

V. Phone/Fax

Practice location:
  • Phone: 845-893-4058
  • Fax:
Mailing address:
  • Phone: 845-893-4058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number1019308
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1019308
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number71912
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: