DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY SUSAN ELACQUA, M.D.

Active

DR. MARY SUSAN ELACQUA, M.D. is a Gynecology healthcare provider located in TROY, New York. NPI 1316904105 is currently active in the NPPES registry. Verify at CMS.

Gynecology · TROY, NY

Registration Details

NPI Number
1316904105
Provider Type
Individual
Gender
Female
NPI Issued
Apr 27, 2006 (20.324860414808 yrs)
Last Updated
Oct 6, 2014
License
149514 (NY)

Practice Information

Address
101 JORDAN RD
SUITE 200
TROY, NY, 121808343
Browse NY providers · Browse ZIP 12180
Phone
5182740476
Fax
5182740497
Primary Specialty
Gynecology
207VG0400X

Other Gynecology Providers in TROY, NY

Name Credential NPI
STEFANIE LYN ALLISON DO 1265626642
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.