National Provider Identifier
Heather Glose, PA-C
Heather Glose, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Williamsville, NY and a listed phone number of (716) 631-2517.
Profile Overview
- NPI
- 1023410461
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 17, 2014
- Last Updated
- February 13, 2019
Practice Location
- 325 Essjay RD Ste 170
- Williamsville, NY 14221-8243
Phone: (716) 631-2517
Mailing Address
- 325 Essjay RD
- Williamsville, NY 14221-8243
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1023410461
- Entity Type
- Individual
- Last Name
- Glose
- First Name
- Heather
- Credential
- PA-C
- Mailing Street Address
- 325 Essjay RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8243
- Mailing Country
- US
- Mailing Phone
- (716) 631-2517
- Mailing Fax
- (716) 634-5650
- Practice Street Address
- 325 Essjay RD Ste 170
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8243
- Practice Country
- US
- Practice Phone
- (716) 631-2517
- Enumeration Date
- September 17, 2014
- Last Updated
- February 13, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 017985 (NY, License)