Individual
OLIVIA MARIE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1445 PORTLAND AVE STE 304, ROCHESTER, NY 14621-3008
(585) 922-5920
(585) 922-5960
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
025777
NY
Other
Enumeration date
02/04/2021
Last updated
03/11/2026
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