Individual
MS. GLADYS PACENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
575 HUDSON VALLEY AVE, SUITE 200, NEW WINDSOR, NY 12553-4747
(845) 561-2773
(914) 593-7881
Mailing address
PO BOX 5801, NEW YORK, NY 10087-5801
(914) 593-7880
(914) 593-7881
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
430266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430266
LICENSE NUMBER
NY
Enumeration date
07/03/2006
Last updated
03/07/2023
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