Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 218923 | NY |
NPI | 1023045077 |
---|---|
Provider Name | Dr. Ann Therese Olzinski-Kunze |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14623-4262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 15/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02565231 | (05) | NY |
I13092 | (02) |