Provider Demographics
NPI:1194902247
Name:MCGEE, SUSAN J
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:J
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2037 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-4114
Mailing Address - Country:US
Mailing Address - Phone:518-346-4546
Mailing Address - Fax:518-374-1548
Practice Address - Street 1:2037 STATE ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-4114
Practice Address - Country:US
Practice Address - Phone:518-346-4546
Practice Address - Fax:518-374-1548
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045496183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist