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

Individual provider Medical Physician Assistant · NPI 1023410461

Heather Glose, PA-C is a Medical Physician Assistant in Williamsville, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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

325 Essjay Rd Ste 170
Williamsville, NY 14221-8243
Phone: (716) 631-2517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 017985 (NY)

Record details

NPI number1023410461
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2014
Last updated in NPPESFebruary 13, 2019

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