National Provider Identifier
Samantha Marie Glasgow
Samantha Marie Glasgow is listed in the NPPES registry with a primary specialty of Physician Assistant in Macedon, NY and a listed phone number of (315) 986-2100.
Profile Overview
- NPI
- 1538617030
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 14, 2016
- Last Updated
- June 08, 2023
Practice Location
- 1033 Route 31
- Macedon, NY 14502-8218
Phone: (315) 986-2100
Mailing Address
- 1033 Route 31 Ste 1
- Macedon, NY 14502-8218
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1538617030
- Entity Type
- Individual
- Last Name
- Glasgow
- First Name
- Samantha
- Middle Name
- Marie
- Mailing Street Address
- 1033 Route 31 Ste 1
- Mailing City
- Macedon
- Mailing State
- NY
- Mailing ZIP Code
- 14502-8218
- Mailing Country
- US
- Mailing Phone
- (315) 986-2100
- Mailing Fax
- (315) 538-0047
- Practice Street Address
- 1033 Route 31
- Practice City
- Macedon
- Practice State
- NY
- Practice ZIP Code
- 14502-8218
- Practice Country
- US
- Practice Phone
- (315) 986-2100
- Practice Fax
- (315) 538-0047
- Enumeration Date
- September 14, 2016
- Last Updated
- June 08, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 08, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 04559399 (NY)