Individual provider · Type 1 NPI

Glen E. Anderson, PA-C

Physician Assistant · Gansevoort, NY

NPI number 1801061288 Active

Practice location

1299 Route 9
Gansevoort, NY 12831-1560

Call (518) 761-6961 Map

Fax (518) 761-1006

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X005207 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1801061288

Glen E. Anderson, PA-C's National Provider Identifier is 1801061288, issued on Apr 25, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gansevoort, NY. The record was last updated on Oct 8, 2026.