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

Glenn Gamboa, RN

Individual provider Registered Nurse · NPI 1144662545

Glenn Gamboa, RN is a Registered Nurse in Suffern, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

99 Washington Ave
Suffern, NY 10901-6026
Phone: (845) 357-4500
Fax: (845) 357-5039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 662852 (NY)

Record details

NPI number1144662545
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 25, 2013
Last updated in NPPESJuly 25, 2013
Mailing address13 Bonnie Brae Dr, Middletown, NY 10941-1701

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