Healthcare Provider Details

I. General information

NPI: 1407764673
Provider Name (Legal Business Name): OLENA NADLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 HAMILTON RD
FAIRPORT NY
14450-9711
US

IV. Provider business mailing address

9 MIMA CIR
FAIRPORT NY
14450-9796
US

V. Phone/Fax

Practice location:
  • Phone: 585-421-2157
  • Fax:
Mailing address:
  • Phone: 585-472-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number656755
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: