Individual
SUSAN A MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Contact information
Practice address
7 HEMPHILL PL STE 232, BALLSTON SPA, NY 12020-4482
(838) 202-4296
Mailing address
7 HEMPHILL PL STE 232, BALLSTON SPA, NY 12020-4482
(518) 588-2930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F337084-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403054-01
NY
Other
Enumeration date
02/20/2012
Last updated
11/27/2024
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