Individual
OLGA VASYLYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4003
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4003
(585) 922-5168
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
271226
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04164274
—
NY
Enumeration date
04/19/2010
Last updated
05/14/2021
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