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Dr. Susan M. Gannon, MD
Specialist in Albany, New York
NPI 1063471209

Susan M. Gannon is a Specialist based in Albany, NY. Susan M. Gannon practices in Albany, NY and has the professional credentials of MD. The NPI Number for Susan M. Gannon is 1063471209 and holds a License No. 234913-1 (New York).

The current practice location address for Susan M. Gannon is 455 Patroon Creek Blvd., Albany, NY and can be reached out via phone at 518-438-0505 and via fax at 518-438-4517.

Location: 455 Patroon Creek Blvd., Albany, NY, 12206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063471209
Provider Name
Susan M. Gannon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
455 Patroon Creek Blvd., Albany, NY, 12206
Phone Number
518-438-0505
Fax Number
518-438-4517
Provider Enumeration Date
03/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02685936 05 NY
institution
Provider Business Practice Location Address Details
Address
455 Patroon Creek Blvd.
City
Albany
State
New York
Zip
12206
Phone Number
518-438-0505
Fax Number
518-438-4517
person
Provider Business Mailing Address Details
Address
455 Patroon Creek Blvd.
City
Albany
State
New York
Zip
12206
Phone Number
518-438-0505
Fax Number
518-438-4517
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
234913-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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