Individual
MRS. ELEANOR MAE GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
26 MARKET STREET, BEWLEY BUILDING, SUITE 402, LOCKPORT, NY 14094-1854
(716) 727-9271
Mailing address
6529 HATTER RD, NEWFANE, NY 14108-9767
(716) 479-3113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
690068
NY
225700000X
Massage Therapist
019741
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407128
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06930083
—
NY
Enumeration date
11/26/2007
Last updated
03/20/2026
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