Individual
GLENN GILBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6870 E GENESEE ST, FAYETTEVILLE, NY 13066-1031
(315) 679-4367
(315) 679-4368
Mailing address
17 LANSING ST, AUBURN, NY 13021-1983
(315) 255-7011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
006260
NY
Other
Enumeration date
03/31/2007
Last updated
09/12/2025
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