Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Glenn Robert Buczkowski, PA-C

Individual provider Physician Assistant · NPI 1639107196

Glenn Robert Buczkowski, PA-C is a Physician Assistant in Amherst, New York. Qualified in 1998, 28 years ago. Practices with Michael a Vasquez MD PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4927 Main St Ste 400
Amherst, NY 14226-4081
Phone: (716) 877-7000
Fax: (716) 322-1164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 006921 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 006921 (NY)

Record details

NPI number1639107196
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021
Mailing address4927 Main St, Ste 400, Amherst, NY 14226-4081

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Michael A Vasquez Md Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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