Glantz, Sandra Hines

Glantz, Sandra Hines is an individual health care provider with primary practice located at 3690 East Ave , Rochester NY 14618-3537. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Glantz, Sandra Hines can be contacted via phone (585) 385-8280.

Contact Information

Primary practice address
3690 East Ave Rochester NY 14618-3537
Phone: (585) 385-8280
Fax: (585) 385-8299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F330495 New York

Profile Details

NPI number 1881663052
LBN Legal business name Glantz, Sandra Hines
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Sep 28th, 2015 - about 11 years 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 1881663052 NPPES
New York Other PO19419394 BLUE CHOICE
New York Other 7108 BLUE CHOICE
New York MEDICAID OF330495 BLUE CHOICE
New York Other 000924648001 BLUE CHOICE
New York Other 109390CK BLUE CHOICE

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