National Provider Identifier

Mikaela Frances Glass, MD

Mikaela Frances Glass, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-2100.

NPI 1851188007Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1851188007
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 22, 2025
Last Updated
April 22, 2025

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-3457

Phone: (585) 275-2100

Mailing Address

  • 411 Bronx River RD Apt 7C
  • Yonkers, NY 10704-3457

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1851188007
Entity Type
Individual
Last Name
Glass
First Name
Mikaela
Middle Name
Frances
Credential
MD
Mailing Street Address
411 Bronx River RD Apt 7C
Mailing City
Yonkers
Mailing State
NY
Mailing ZIP Code
10704-3457
Mailing Country
US
Mailing Phone
(240) 319-0615
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-3457
Practice Country
US
Practice Phone
(585) 275-2100
Enumeration Date
April 22, 2025
Last Updated
April 22, 2025
Sex
Female
Sole Proprietor
No
Certification Date
April 22, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)