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

Glen ACO, NP

Individual provider Nurse Practitioner · NPI 1134294499

Glen ACO, NP is a Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1 Penn Plz Fl 8
New York, NY 10119-0899
Phone: (212) 216-6415
Fax: (844) 291-7539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 504963-1 (NY)

Record details

NPI number1134294499
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESJanuary 20, 2016
Mailing address1 Penn Plz Fl 8, New York, NY 10119-0899

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