National Provider Identifier
Jordan Glowacki, PA-C
Jordan Glowacki, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Batavia, NY and a listed phone number of (585) 343-6030.
Profile Overview
- NPI
- 1356063440
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 15, 2022
- Last Updated
- September 15, 2022
Practice Location
- 127 North St
- Batavia, NY 14020-1631
Phone: (585) 343-6030
Mailing Address
- 5531 Oakridge Dr
- Hamburg, NY 14075-4065
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1356063440
- Entity Type
- Individual
- Last Name
- Glowacki
- First Name
- Jordan
- Credential
- PA-C
- Mailing Street Address
- 5531 Oakridge Dr
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-4065
- Mailing Country
- US
- Mailing Phone
- (716) 799-7760
- Practice Street Address
- 127 North St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-1631
- Practice Country
- US
- Practice Phone
- (585) 343-6030
- Enumeration Date
- September 15, 2022
- Last Updated
- September 15, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 14, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)