Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Susan M. Gannon, MD

Individual provider Specialist · NPI 1063471209

Dr. Susan M. Gannon, MD is a Plastic and Reconstructive Surgery in Albany, New York. Graduated from Albany Medical College of Union University in 1999, 27 years ago. Practices with Plastic Surgery Associates LLP, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

455 Patroon Creek Blvd Ste 101
Albany, NY 12206
Phone: (518) 438-0505
Fax: (518) 438-4517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 234913-1 (NY)

Record details

NPI number1063471209
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESJanuary 29, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1999 (27 years in practice)
Group practice Plastic Surgery Associates Llp — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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