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1134294499
GLEN ACO
NEW YORK, NY
NPI
1134294499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 504963-1)
Enumeration Date
2006-11-22
Last Update Date
2016-01-20
Business Address
-- GLEN ACO NP
1 PENN PLZ FL 8
NEW YORK, NY 10119-0899
Phone number: 212-216-6415
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Mailing Address
-- GLEN ACO NP
1 PENN PLZ FL 8
NEW YORK, NY 10119-0899
Phone number: 212-216-6415
Copy
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