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Organization
GENESEE VALLEY GROUP HEALTH
Active
Organization
GENESEE VALLEY GROUP HEALTH
Active
Other names
Lifetime Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DEB CARLASCIO (VICE PRESIDENT OF OPERATIONS)
(585) 389-6066
Entity
Organization
Contact information
Practice address
1850 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623-2532
(585) 424-6210
Mailing address
333 BUTTERNUT DR, SYRACUSE, NY 13214-2141
(315) 671-6951
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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