Individual
GLENNA DAMASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
75 MAIDEN LN FL 10, NEW YORK, NY 10038-4607
(917) 261-7370
Mailing address
678 HEWLETT ST, FRANKLIN SQUARE, NY 11010-1832
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310371
NY
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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