Susan L Merola-Mcconn in Fayetteville - Family Medicine

Susan L Merola-Mcconn - NPI 1346201068

Susan L Merola-Mcconn is a Family Medicine in Fayetteville, New York. Susan L Merola-Mcconn practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan L Merola-Mcconn is 1346201068. The last update date is 2011-11-22.

Susan L Merola-Mcconn's current location address is 4117 Medical Center Dr, Fayetteville, New York. You can contact this provider via phone number 3153294975 and fax number 3153294965. The mailing address for Susan L Merola-Mcconn is 4117 Medical Center Dr, Fayetteville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan L Merola-Mcconn
Address 4117 Medical Center Dr, Fayetteville, New York
Phone Number 3153294975
Fax Number 3153294965
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1346201068
Provider Enumeration Date 2006-03-31
Last Updated Date 2011-11-22

Provider Mailing Address Detail

Address 4117 Medical Center Dr
City Fayetteville
State New York (NY)
Post Code 130666600
Phone Number 3153294975
Fax Number 3153294965

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 179047
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2508776 NY --

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FAQs about Susan L Merola-Mcconn

What is the unique 10-digit identifier code issued to Susan L Merola-Mcconn by the Centers for Medicare & Medicaid Services?

The Susan L Merola-Mcconn has been assigned the NPI (National Provider Identifier) 1346201068 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Susan L Merola-Mcconn?

The Susan L Merola-Mcconn is situated at 4117 Medical Center Dr, in the city of Fayetteville, state of NY, with the zip code 130666600.

What is the Susan L Merola-Mcconn's specialty and taxonomy code?

The Susan L Merola-Mcconn's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1346201068 to Susan L Merola-Mcconn?

The Susan L Merola-Mcconn received its 1346201068 assignment from the Centers for Medicare & Medicaid Services on 2006-03-31.

When was the information regarding Susan L Merola-Mcconn, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Susan L Merola-Mcconn, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-22.

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