Organization Active NPI

Greater Rochester Breast Surgery

  • Surgical Oncology Physician
  • Rochester, NY
National Provider Identifier
1508100355
Registry record updated Nov 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
218923 Issued in NY
Legal business name
GREATER ROCHESTER BREAST SURGERY
Practice address
2235 Clinton Ave S
Rochester, NY 14618-2623
Phone
(585) 454-6720
Fax
(585) 454-7328
NPI assigned
Nov 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ann Therese Olzinski-Kunze, MD
Title
Managing Partner
Phone
(585) 454-6720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X 218923 NY Primary

Addresses

Primary practice location

2235 Clinton Ave S
Rochester, NY 14618-2623

Mailing address

2235 Clinton Ave S
Rochester, NY 14618-2623
Phone (585) 454-6720

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353110400000",
    "number": "1508100355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182623",
            "telephone_number": "585-454-6720",
            "fax_number": "585-454-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182623",
            "telephone_number": "585-454-6720",
            "fax_number": "585-454-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ROCHESTER BREAST SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-17",
        "last_updated": "2012-11-17",
        "status": "A",
        "authorized_official_last_name": "OLZINSKI-KUNZE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "585-454-6720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "218923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.