MEDICARE: GLADYBELL KIESER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	345855	NY

General Provider Information

NPI Number	:	1154272235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLADYBELL KIESER

Provider Business Mailing Address
First Line	:	117 BIRCHWOOD WAY
Second Line	:
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-4319
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 BIRCHWOOD WAY
Second Line	:
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-4319
Country	:	US
Telephone Number	:	917-513-8561
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ GLADYBELL KIESER ” Practice Location

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