Gleason, Mary Kathryn
Gleason, Mary Kathryn is an sole proprietor health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gleason, Mary Kathryn can be contacted via phone (518) 262-5723.Contact Information
Primary practice address
47 New Scotland Ave
Albany NY 12208-3412
Phone: (518) 262-5723
Fax: (518) 262-4974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 380537-1 | New York |
Profile Details
| NPI number | 1700875945 |
|---|---|
| LBN Legal business name | Gleason, Mary Kathryn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Mar 15th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700875945 | NPPES |
| New York | MEDICAID | 01965264 |
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