MEDICARE: ROBERT H. OLIVER, M.D., PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	211704	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073658704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT H. OLIVER, M.D., PLLC

Provider Business Mailing Address
First Line	:	1295 PORTLAND AVE
Second Line	:	SUITE 24
City	:	ROCHESTER
State	:	NY
Zip	:	14621-2731
Country	:	US
Telephone Number	:	585-342-2080
Fax Number	:	585-301-4037

Provider Business Practice Location Address
First Line	:	1295 PORTLAND AVE
Second Line	:	SUITE 24
City	:	ROCHESTER
State	:	NY
Zip	:	14621-2731
Country	:	US
Telephone Number	:	585-342-2080
Fax Number	:	585-301-4037

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT HUGH OLIVER
Credential	:	M.D.
Telephone Number	:	585-342-2080

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	10/15/2007

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1295 PORTLAND AVE , STE. 24
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14621-2731

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1821066135 — MR. EDWARD F SHAW
Practice Location Address:

1295 PORTLAND AVE , SUITE 1
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1982715470 — DR. ROBERT J BUHITE II D.D.S.
Practice Location Address:

1295 PORTLAND AVE , SUITE 8
ROCHESTER, NY
14621-2731

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Practice Fax:

1073643243 — DR. RONALD LEWITT DAYMON D.D.S., M.S.
Practice Location Address:

1295 PORTLAND AVE , SUITE 21
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1295854941 — DIANE R. FINNERTY, AU.D.
Practice Location Address:

1295 PORTLAND AVE , SUITE 7
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