Anderson, Glen E

Anderson, Glen E is an individual health care provider with primary practice located at 1299 Route 9 , Gansevoort NY 12831-1560. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Anderson, Glen E can be contacted via phone (518) 761-6961.

Contact Information

Primary practice address
1299 Route 9 Gansevoort NY 12831-1560
Phone: (518) 761-6961
Fax: (518) 761-1006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005207 New York

Profile Details

NPI number 1801061288
LBN Legal business name Anderson, Glen E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated Apr 1st, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801061288 NPPES
New York MEDICAID 02346541

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