Organization
GENESEE VALLEY GROUP HEALTH ASSOCIATION
Active
Parent organization
GENESEE VALLEY GROUP HEALTH ASSOCIATION
Other names
Lifetime Health Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESEE VALLEY GROUP HEALTH ASSOCIATION
Authorized official
MRS. DEBORAH 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) 338-1200
Mailing address
333 BUTTERNUT DR, 3RD FLOOR ATTN: TONI RADLEY, SYRACUSE, NY 13214-2141
(315) 671-6951
(315) 671-6976
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355266
—
NY
Enumeration date
02/03/2014
Last updated
02/03/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us