Susan M. Gannon M.D.

NPI 1063471209 - Specialist - 174400000X

NPI Details
NPI 1063471209
Gender Female
Enumeration Date 03/17/2006
Last Updated 01/29/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
455 PATROON CREEK BLVD.
SUITE 101
ALBANY NY, 12206, US
Phone (518) 438-0505
Fax (518) 438-4517
Business Location
455 PATROON CREEK BLVD.
SUITE 101
ALBANY NY, 12206, US
Phone (518) 438-0505
Fax (518) 438-4517
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 234913-1
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According to our database, Dr. Susan M. Gannon M.D. NPI is 1063471209, taxonomy code is 174400000X and license number is 234913-1, license state is located at New York. Susan M. Gannon M.D. physically located at 455 Patroon Creek Blvd., Albany NY, 12206. NPI Number Susan M. Gannon M.D. has the Individual type.

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1063471209 NPI number is provided on an as is basis without warranty of any kind. 1063471209 is maintained by the National Plan & Provider Enumeration System. The contents of Susan M. Gannon M.D. are for informational purposes only.