National Provider Identifier

Vicki L Glynn

Vicki L Glynn is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Kenmore, NY and a listed phone number of (716) 871-9883.

NPI 1518334143Kenmore, NYCase Manager/Care Coordinator

Profile Overview

NPI
1518334143
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
August 31, 2015
Last Updated
August 31, 2015

Practice Location

  • 2900 Delaware Ave
  • Kenmore, NY 14217-2309

Phone: (716) 871-9883

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1518334143
Entity Type
Individual
Last Name
Glynn
First Name
Vicki
Middle Name
L
Name Prefix
Mrs.
Provider Other Last Name
Rudnick
Provider Other First Name
Vicki
Provider Other Middle Name
L
Provider Other Last Name Type Code
1
Mailing Street Address
2900 Delaware Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2309
Mailing Country
US
Practice Street Address
2900 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2309
Practice Country
US
Practice Phone
(716) 871-9883
Enumeration Date
August 31, 2015
Last Updated
August 31, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)