Provider Demographics
NPI:1235443516
Name:GLOBERSON, JENNY L (MS, PA-C)
Entity Type:Individual
Prefix:MS
First Name:JENNY
Middle Name:L
Last Name:GLOBERSON
Suffix:
Gender:F
Credentials:MS, PA-C
Other - Prefix:MS
Other - First Name:JENNY
Other - Middle Name:L
Other - Last Name:BRONSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, PA-C
Mailing Address - Street 1:100 PARK STREET
Mailing Address - Street 2:GLENS FALLS HOSPITAL - CREDENTIALING
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4413
Mailing Address - Country:US
Mailing Address - Phone:518-926-6992
Mailing Address - Fax:
Practice Address - Street 1:100 PARK STREET
Practice Address - Street 2:GLENS FALLS HOSPITA INTENSIVIST PROGRAM
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4413
Practice Address - Country:US
Practice Address - Phone:518-926-6800
Practice Address - Fax:518-926-6825
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014380363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical