Healthcare Provider Details

I. General information

NPI: 1164453619
Provider Name (Legal Business Name): DEBRA REIFENRATH RPA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E. SOUTH ST SUITE 700
GENESEO NY
14454-1300
US

IV. Provider business mailing address

10869 RTE 36 SOUTH PO BOX 601
DANSVILLE NY
14437-0601
US

V. Phone/Fax

Practice location:
  • Phone: 585-243-1700
  • Fax: 585-243-5355
Mailing address:
  • Phone: 585-335-3416
  • Fax: 585-335-8695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number003085
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: