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

Glenn Gilberg, PA

Individual provider Physician Assistant · NPI 1770603755

Glenn Gilberg, PA is a Physician Assistant in Fayetteville, New York. Qualified in 1997, 29 years ago. Practices with Zaki Badawy, MD PC, a 19-clinician group, works from 11 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6870 E Genesee St
Fayetteville, NY 13066-1031
Phone: (315) 679-4367
Fax: (315) 679-4368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 37 W Garden St Ste 105, Auburn, NY 13021-2663 — (315) 252-0000
  • 303 Grant Ave, Auburn, NY 13021-1407 — (315) 258-7100
  • 8003 Brewerton Rd, Cicero, NY 13039-9528 — (315) 288-4006
  • 7375 Oswego Rd Ste 1, Liverpool, NY 13090-3717 — (315) 291-0064
  • 5001 State Highway 23, Oneonta, NY 13820-4508 — (607) 376-5346
  • 3648 Dewey Ave, Rochester, NY 14616-3026 — (585) 736-3503
  • 803 Genesee Street Rd, Skaneateles, NY 13152 — (315) 685-9355
  • 3504 W Genesee St, Syracuse, NY 13219-2008 — (315) 401-0754
  • 6227 Thompson Rd, Syracuse, NY 13206-1405 — (315) 937-2007
  • 2549 Vestal Pkwy E Ste 3, Vestal, NY 13850-2084 — (607) 225-0566

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006260 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1770603755
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 31, 2007
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Zaki Badawy, Md Pc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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