Individual
MARY KATHRYN GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5723
(518) 262-4974
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5723
(518) 262-4974
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380537-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01965264
—
NY
Enumeration date
10/20/2005
Last updated
03/15/2012
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