Organization
GENESEE VALLEY GROUP HEALTH ASSOCIATION
Active
Other names
Lifetime Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR E ORLICK MD (PRESIDENT & CHIEF MEDICAL OFFICER)
(716) 656-4034
Entity
Organization
Contact information
Practice address
470 LONG POND RD, ATTENTION PHARMACY, ROCHESTER, NY 14612-3056
(585) 227-7906
(585) 227-5548
Mailing address
470 LONG POND RD, ATTENTION PHARMACY, ROCHESTER, NY 14612-3056
(585) 227-7906
(585) 227-5548
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
018428
NY
3336C0002X
Clinic Pharmacy
Primary
018428
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01853832
—
NY
Enumeration date
12/19/2006
Last updated
05/15/2009
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