GLEN NICOLOSI LPN
NPI 1275821928
Licensed Practical Nurse in Rochester, NY

Active since July 15, 2011
1330 HOWARD RD, ROCHESTER, NY 14624(585) 755-8784 Get Directions Write a Review

NPPES record last updated: July 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Licensed Practical Nurse

About GLEN NICOLOSI

This page provides the complete NPI Profile along with additional information for Glen Nicolosi, a provider established in Rochester, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1275821928 assigned on July 2011. The practitioner's primary taxonomy code is 164W00000X with license number 208691 (NY). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1275821928 Verify this NPI
Provider Name
GLEN NICOLOSI LPN
Gender
Male
Entity Type
Individual
Location Address
1330 HOWARD RD ROCHESTER, NY 14624
Location Phone
(585) 755-8784
Mailing Address
1330 HOWARD RD ROCHESTER, NY 14624
Mailing Phone
(585) 755-8784
Is Sole Proprietor?
Yes
Enumeration Date
07-15-2011
Last Update Date
07-15-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
208691
License State
NY
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275821928, enumerated as an "individual" on July 15, 2011.

The provider is located at 1330 HOWARD RD ROCHESTER, NY 14624 and the phone number is (585) 755-8784.

Licensed Practical Nurse with taxonomy code 164W00000X.