Nurse Practitioner
GLEN ACO NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1134294499 · enumerated 2006-11-22 · record updated 2016-01-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1 PENN PLZ FL 8, NEW YORK, NY, 10119-0899 (212) 216-6415 Fax (844) 291-7539 Google Maps Apple Maps OpenStreetMap
- Practice location 1 PENN PLZ FL 8, NEW YORK, NY, 10119-0899 (212) 216-6415 Fax (844) 291-7539 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · Primary · License 504963-1 NY
In this directory
Locations and evidence
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Practice location
NEW YORK, NY, 101190899
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.