Healthcare Provider Details

I. General information

NPI: 1205263696
Provider Name (Legal Business Name): GEENA MARIE HUBER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 ROUTE 63
WAYLAND NY
14572-9509
US

IV. Provider business mailing address

4612 MILLENNIUM DR
GENESEO NY
14454-1197
US

V. Phone/Fax

Practice location:
  • Phone: 585-728-3006
  • Fax: 585-728-3446
Mailing address:
  • Phone: 585-443-2018
  • Fax: 585-991-5013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number702567
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number310725
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: