Individual ProviderRenee Rachelle FragomanPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1 College Cir, Suny Geneseo - Holcomb Building, Geneseo, NY 14454-1401(585) 245-5688PECOS EnrollmentBased on the most recent information from CMS, provider Renee Rachelle Fragoman 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 ID1497077549Provider TypeIndividualFull NameFragoman, Renee RachelleTitleMrs.CredentialB.S.GenderFemaleSole ProprietorNoEnumeration Date2/17/2010Last Updated2/17/2010Contact InformationPractice LocationPractice Address1 College Cir, Suny Geneseo - Holcomb Building, Geneseo, NY 14454-1401Phone(585) 245-5688Fax(585) 245-5685Mailing LocationMailing Address1 College Cir, Suny Geneseo - Holcomb Building, Geneseo, NY 14454-1401Phone(585) 245-5688Fax(585) 245-5685Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense019079New York