Healthcare Provider Details

I. General information

NPI: 1265432280
Provider Name (Legal Business Name): GENESEE REHAB SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8276 PARK ROAD
BATAVIA NY
14020-1275
US

IV. Provider business mailing address

8276 PARK ROAD
BATAVIA NY
14020-1275
US

V. Phone/Fax

Practice location:
  • Phone: 585-343-9681
  • Fax: 585-343-9497
Mailing address:
  • Phone: 585-343-9681
  • Fax: 585-343-9497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN MARIE HUGHES
Title or Position: PARTNER
Credential:
Phone: 585-343-9681