Individual
CLINTON OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-3035
(585) 273-4058
(585) 473-3516
Mailing address
601 ELMWOOD AVE BOX 655, ROCHESTER, NY 14642-8655
(585) 273-4058
(585) 473-3516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011208
NY
363A00000X
Physician Assistant
11208
NY
363AM0700X
Medical Physician Assistant
011208
NY
Other
Enumeration date
07/26/2006
Last updated
08/24/2025
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