Provider Demographics
NPI:1023045077
Name:OLZINSKI-KUNZE, ANN THERESE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:THERESE
Last Name:OLZINSKI-KUNZE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:THERESE
Other - Last Name:OLZINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE BOX SURG
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-487-1700
Mailing Address - Fax:585-321-1724
Practice Address - Street 1:125 RED CREEK DR STE 211
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4262
Practice Address - Country:US
Practice Address - Phone:585-487-1700
Practice Address - Fax:585-321-1724
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2189232086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02565231Medicaid
RA2871Medicare PIN
NY02565231Medicaid