Organization
OLEAN GENERAL HEALTHCARE SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
502 N UNION ST STE 4AND5, OLEAN, NY 14760-2619
(716) 373-0676
(716) 373-0869
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007553710
—
PA
05
—
01826035
—
NY
Enumeration date
02/17/2006
Last updated
10/15/2025
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