Healthcare Provider Details

I. General information

NPI: 1457446361
Provider Name (Legal Business Name): GAIL PLISCOFSKY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 WARREN ST
GLENS FALLS NY
12801-4511
US

IV. Provider business mailing address

1040 STATE ST
SCHENECTADY NY
12307-1508
US

V. Phone/Fax

Practice location:
  • Phone: 518-792-0991
  • Fax: 518-798-7458
Mailing address:
  • Phone: 518-374-5353
  • Fax: 518-377-2517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number331336-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number42-420518-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: