Individual
SUSAN JANE MCPHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LAWRENCE ST, CENTER FOR CHILDREN AND FAMILIES, GLENS FALLS, NY 12801-3617
(518) 926-7100
(518) 926-7069
Mailing address
100 PARK ST, GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801-4413
(518) 926-7100
(518) 926-7069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
132589
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
132589
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00033406
RR MEDICARE
NY
Enumeration date
10/12/2005
Last updated
06/13/2012
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