Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN E ANDERSON, PA-C
ActivePhysician Assistant · GANSEVOORT, NY
Registration Details
- NPI Number
- 1801061288
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2008 (18.054334407491 yrs)
- Last Updated
- May 23, 2025
- License
-
005207 (NY)
Practice Information
- Address
-
1299 ROUTE 9GANSEVOORT, NY, 128311560Browse NY providers · Browse ZIP 12831
- Phone
- 5187616961
- Fax
- 5187611006
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GANSEVOORT, NY
| Name | Credential | NPI |
|---|---|---|
| JACQUELYN A BUCKLEY | PA-C | 1871500165 |
| MR. JOHN MICHAEL NELLIGAN | RPA | 1255420089 |
| LAUREN E GUSH | PA-C | 1720410046 |
| JACQUELINE NICOLETTE BATTISTA | PA | 1497384663 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.