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1316904105
MARY SUSAN ELACQUA
TROY, NY
NPI
1316904105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: NY 149514)
Enumeration Date
2006-04-27
Last Update Date
2014-10-06
Business Address
Dr. MARY SUSAN ELACQUA M.D.
101 JORDAN RD SUITE 200
TROY, NY 12180-8343
Phone number: 518-274-0476
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Mailing Address
Dr. MARY SUSAN ELACQUA M.D.
711 TROY SCHENECTADY RD SUITE 203
LATHAM, NY 12110-2442
Phone number: 518-782-3700
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