National Provider Identifier
Olivia Marie Raetz, PA
Olivia Marie Raetz, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 342-2638.
Source: public NPPES record, last updated March 27, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1205649589
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 30, 2025
- Last Updated
- March 27, 2026
Practice Location
- 1445 Portland Ave Ste 309
- Rochester, NY 14621-3008
Phone: (585) 342-2638
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Physician Assistant (363A00000X)
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Full Record
- NPI
- 1205649589
- Entity Type
- Individual
- Last Name
- Raetz
- First Name
- Olivia
- Middle Name
- Marie
- Credential
- PA
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 1445 Portland Ave Ste 309
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3008
- Practice Country
- US
- Practice Phone
- (585) 342-2638
- Enumeration Date
- January 30, 2025
- Last Updated
- March 27, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 27, 2026
- Taxonomies
- Physician Assistant (363A00000X)