Individual
MS. LINDSAY ASHLEY GLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PNP
Contact information
Practice address
64 COLONY ST, DEPEW, NY 14043-1708
(716) 684-3974
Mailing address
64 COLONY ST, DEPEW, NY 14043-1708
(716) 684-3974
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382139
NY
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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