Provider Demographics
NPI:1053449314
Name:GENESEE COUNTY NYSARC
Entity Type:Organization
Organization Name:GENESEE COUNTY NYSARC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SASKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-343-1123
Mailing Address - Street 1:64 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-3015
Mailing Address - Country:US
Mailing Address - Phone:585-343-1123
Mailing Address - Fax:585-343-8420
Practice Address - Street 1:64 WALNUT ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-3015
Practice Address - Country:US
Practice Address - Phone:585-343-1123
Practice Address - Fax:585-343-8420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01585322Medicaid
NY02247107Medicaid
NY01750343Medicaid
NY02746110Medicaid
NY01218579Medicaid
NY01998970Medicaid
NY02171057Medicaid
NY02633214Medicaid
NY02699181Medicaid