Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn F Thibault, MD

Individual provider Family Medicine Physician · NPI 1699769364

Glenn F Thibault, MD is a Family Practice in Pulaski, New York. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 1988, 38 years ago. Practices with Northern Oswego County Health Services, Inc, a 39-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
38
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

61 Delano St
Pulaski, NY 13142-1400
Phone: (315) 298-6564
Fax: (315) 298-7488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 220472 (NY)

Record details

NPI number1699769364
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 8, 2005
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 1988 (38 years in practice)
Group practice Northern Oswego County Health Services, Inc. — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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