Basic Information
| Provider Information | |||||||||
| NPI: | 1083628838 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OLINGER | ||||||||
| FirstName: | ANNE | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2021 WINTON RD S. | ||||||||
| Address2: | JEWISH HOME OF ROCHESTER | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14618 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5857846400 | ||||||||
| FaxNumber: | 5853412370 | ||||||||
| Practice Location | |||||||||
| Address1: | 2021 WINTON RD S. | ||||||||
| Address2: | JEWISH HOME OF ROCHESTER | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14618 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5857846400 | ||||||||
| FaxNumber: | 5853412370 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2006 | ||||||||
| LastUpdateDate: | 04/05/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | 212831 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
ID Information
| ID | Type | State | Issuer | Description | 02396050 | 05 | NY | MEDICAID | P010212831 | 01 | NY | BLUE CHOICE | OTHER | P020212831 | 01 | NY | BLUE SHIELD | OTHER | 103473BJ | 01 | NY | PREFERRED CARE | OTHER |