Provider Demographics
NPI:1265432280
Name:GENESEE REHAB SUPPLY
Entity type:Organization
Organization Name:GENESEE REHAB SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-343-9681
Mailing Address - Street 1:8276 PARK ROAD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-1275
Mailing Address - Country:US
Mailing Address - Phone:585-343-9681
Mailing Address - Fax:585-343-9497
Practice Address - Street 1:8276 PARK ROAD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1275
Practice Address - Country:US
Practice Address - Phone:585-343-9681
Practice Address - Fax:585-343-9497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies