# GENESEE VALLEY GROUP HEALTH

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

## Provider details

- **NPI number:** 1588077481
- **Authorized official:** DEB CARLASCIO (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (585) 389-6066

## Contact information

- **Practice address:** 1850 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623-2532
- **Practice address phone:** (585) 424-6210
- **Mailing address:** 333 BUTTERNUT DR, SYRACUSE, NY 13214-2141
- **Mailing address phone:** (315) 671-6951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2014
- **Last updated:** 06/09/2014