National Provider Identifier
Olavio A Antao, MD
Olavio A Antao, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 784-7848.
Profile Overview
- NPI
- 1093741548
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- June 25, 2006
- Last Updated
- May 30, 2018
Practice Location
- 135 Corporate Woods Ste 200C
- Rochester, NY 14623
Phone: (585) 784-7848
Mailing Address
- 135 Corporate Woods Ste 200C
- Rochester, NY 14623-1459
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1093741548
- Entity Type
- Individual
- Last Name
- Antao
- First Name
- Olavio
- Middle Name
- A
- Credential
- MD
- Mailing Street Address
- 135 Corporate Woods Ste 200C
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-1459
- Mailing Country
- US
- Mailing Phone
- (585) 784-7848
- Mailing Fax
- (585) 784-7844
- Practice Street Address
- 135 Corporate Woods Ste 200C
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623
- Practice Country
- US
- Practice Phone
- (585) 784-7848
- Practice Fax
- (585) 784-7844
- Enumeration Date
- June 25, 2006
- Last Updated
- May 30, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 5535346 (NY, Aetna), 00864640 (NY)