Individual ProviderCarolyn Camille RuffnerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5132 Rte 63, Geneseo, NY 14454-1445(716) 378-0689PECOS EnrollmentBased on the most recent information from CMS, provider Carolyn Camille Ruffner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1467117507Provider TypeIndividualFull NameRuffner, Carolyn CamilleCredentialPTGenderFemaleSole ProprietorYesEnumeration Date11/3/2021Last Updated11/3/2021Contact InformationPractice LocationPractice Address5132 Rte 63, Geneseo, NY 14454-1445Phone(716) 378-0689Fax(585) 229-8687Mailing LocationMailing Address4421 Hammocks Dr, Geneseo, NY 14454-9630Phone(716) 378-0689Fax(585) 229-8687Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense011704-1New York