Basic Information
Provider Information
NPI: 1891046611
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NUNI
FirstName: OLTION
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1555 LONG POND RD
Address2: DEPT. OF MEDICINE
City: ROCHESTER
State: NY
PostalCode: 146264122
CountryCode: US
TelephoneNumber: 5857237870
FaxNumber: 5857237871
Practice Location
Address1: 1555 LONG POND RD
Address2: DEPT. OF MEDICINE
City: ROCHESTER
State: NY
PostalCode: 146264122
CountryCode: US
TelephoneNumber: 5857237870
FaxNumber: 5857237871
Other Information
ProviderEnumerationDate: 09/20/2012
LastUpdateDate: 07/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X306144NYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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