Susan M. Gannon is a Specialist in Albany, New York. Susan M. Gannon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Susan M. Gannon is 1063471209. The last update date is 2014-01-29.
Susan M. Gannon's current location address is 455 Patroon Creek Blvd., Albany, New York. You can contact this provider via phone number 5184380505 and fax number 5184384517. The mailing address for Susan M. Gannon is 455 Patroon Creek Blvd., Albany, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M. Gannon |
|---|---|
| Address | 455 Patroon Creek Blvd., Albany, New York |
| Phone Number | 5184380505 |
| Fax Number | 5184384517 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063471209 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2014-01-29 |
Provider Mailing Address Detail
| Address | 455 Patroon Creek Blvd. |
|---|---|
| City | Albany |
| State | New York (NY) |
| Post Code | 12206 |
| Phone Number | 5184380505 |
| Fax Number | 5184384517 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 234913-1 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2685936 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Susan M. Gannon?
The Susan M. Gannon has been issued the NPI (National Provider Identifier) 1063471209 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Susan M. Gannon?
The Susan M. Gannon is physically situated at 455 Patroon Creek Blvd., in the city of Albany, state of NY, with the postal code 12206.
What is the Susan M. Gannon's area of specialization and corresponding taxonomy classification?
The Susan M. Gannon's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063471209 to Susan M. Gannon?
The Centers for Medicare & Medicaid Services originally issued the 1063471209 to Susan M. Gannon on 2006-03-17.
As of what date were the details pertaining to Susan M. Gannon last refreshed?
The information related to the Susan M. Gannon, including its address, specialty, and other relevant details, was last updated on 2014-01-29.