# GENESEE VALLEY GROUP HEALTH ASSOCIATON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifetime Health Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356405161
- **Authorized official:** DR. JASON R SMITH PHARMD (DIRECTOR OF PHARMACY SERVICES)
- **Authorized official phone:** (585) 336-4837

## Contact information

- **Practice address:** 800 CARTER ST, ROCHESTER, NY 14621-2604
- **Practice address phone:** (585) 338-1400
- **Mailing address:** 800 CARTER ST, ROCHESTER, NY 14621-2604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | 014289 | NY | — |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 09/12/2014