# GENESEE VALLEY GROUP HEALTH ASSOCIATION

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

## Provider details

- **NPI number:** 1750487625
- **Authorized official:** STEPHEN E URBANSKI JR. RPH (MANAGER, PHARMACY SERVICES)
- **Authorized official phone:** (716) 689-3420

## Contact information

- **Practice address:** 77 SULLYS TRL, PERINTON HEALTH CENTER PHAMACY, PITTSFORD, NY 14534-3754
- **Practice address phone:** (585) 248-5300
- **Mailing address:** 1185 SWEET HOME RD, ATTENTION: STEVE URBANSKI, AMHERST, NY 14226-1018
- **Mailing address phone:** (716) 689-3420
- **Mailing address fax:** (716) 689-3472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | 019587 | NY | — |
| 333600000X | Pharmacy | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 11/18/2015