Provider Demographics
NPI:1013140896
Name:GENESEE TRANSPORTATION INC.
Entity Type:Organization
Organization Name:GENESEE TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BABY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-256-1510
Mailing Address - Street 1:355 PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605-1565
Mailing Address - Country:US
Mailing Address - Phone:585-256-1510
Mailing Address - Fax:585-256-1518
Practice Address - Street 1:355 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-1565
Practice Address - Country:US
Practice Address - Phone:585-256-1510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02689421Medicaid