Individual
CONSTANCE SUZETTE STITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
79 VANDENBURGH AVE, TROY, NY 12180-6024
(518) 272-1355
Mailing address
684 MACELROY RD, BALLSTON LAKE, NY 12019-2202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
32015
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00818759
—
NY
Enumeration date
01/10/2008
Last updated
01/10/2008
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