Susan Legacy MD
Psychiatry Physician in Williston, VT(View on Map)
Full Name
Susan Legacy MD
NPI Number
1114076163
NPI Type
Individual Provider
Gender
Female
Enumeration Date
01/09/2007
Specialties
(Taxonomies)Licenses
State
Vermont
License Number
0420008675
Contact
Information
Purpose
Mailing
Location
Address
188 ALLEN BROOK LN
188 ALLEN BROOK LN
City
Williston
Williston
State
VT
VT
Postal Code
05495-9303
05495-9303
Country
US
US
Telephone Number
(802) 876-4000
(802) 876-4000
Identifiers
Identifier
0VN0708
Identifier State
VT
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/09/2007
Provider Address
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Sammy Abusrur MD
Williston, VTSpecialties: Child & Adolescent Psychiatry Physician (Primary)Psychiatry Physician