Individual
JORDAN GLOWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
127 NORTH ST, BATAVIA, NY 14020-1631
(585) 343-6030
Mailing address
5531 OAKRIDGE DR, HAMBURG, NY 14075-4065
(716) 799-7760
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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