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

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