Individual
ROSEANNE OLIVERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY 14221-3178
(716) 836-4646
(716) 836-4696
Mailing address
111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY 14221-3178
(716) 836-4646
(716) 836-4696
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
161644
NY
2085R0202X
Diagnostic Radiology Physician
Primary
161644
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025673502
UNIVERA
NY
01
—
000527990007
HEALTHNOW, INC.
NY
05
—
01655985
—
NY
01
—
1609172
IHA
NY
01
—
4165918
GHI PPO
NY
01
—
MDH207
PREFERRED CARE - ROCHESTE
NY
01
—
P010161644
BLUE CHOICE / BLUE SHIELD
NY
Enumeration date
05/24/2005
Last updated
08/21/2023
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