Healthcare Provider Details

I. General information

NPI: 1063364438
Provider Name (Legal Business Name): CARLINE ORELIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 CELEBRATION DR
ROCHESTER NY
14620-2664
US

IV. Provider business mailing address

280 E BROAD ST APT 401
ROCHESTER NY
14604-1724
US

V. Phone/Fax

Practice location:
  • Phone: 585-276-3000
  • Fax:
Mailing address:
  • Phone: 239-288-9869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number359242
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: