National Provider Identifier
Staci Olsen, MD
Staci Olsen, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Batavia, NY and a listed phone number of (585) 815-6760.
Profile Overview
- NPI
- 1255867529
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 05, 2017
- Last Updated
- December 20, 2022
Practice Location
- 16 Bank St
- Batavia, NY 14020-2250
Phone: (585) 815-6760
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1255867529
- Entity Type
- Individual
- Last Name
- Olsen
- First Name
- Staci
- Credential
- MD
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 815-6760
- Mailing Fax
- (585) 344-7370
- Practice Street Address
- 16 Bank St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-2250
- Practice Country
- US
- Practice Phone
- (585) 815-6760
- Practice Fax
- (585) 344-7370
- Enumeration Date
- May 05, 2017
- Last Updated
- December 20, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)