Organization
LIFETIME HEALTH MED GRP
Active
Other names
GENESEE VLY GRP HLTH-FLSM PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA AMBRES MD (PRESIDENT)
(716) 857-6191
Entity
Organization
Contact information
Practice address
1850 BRIGHTON HENRIETTA TL RD, ROCHESTER, NY 14623-2532
(585) 292-8400
(585) 292-6598
Mailing address
1850 BRIGHTON HENRIETTA TL RD, ROCHESTER, NY 14623-2532
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
017164
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01853745
—
NY
01
—
3371678
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/15/2006
Last updated
09/11/2025
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