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Organization

GENESEE VALLEY GROUP HEALTH ASSOCIATION

Active
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Organization

GENESEE VALLEY GROUP HEALTH ASSOCIATION

Active
Other names
Lifetime Health Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH CARLASCIO (VICE PRESIDENT REGIONAL OPERATIONS)
(585) 336-4841
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL

Other

Enumeration date
03/09/2007
Last updated
09/11/2025
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