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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
DEBORAH CARLASCIO (DIRECTOR OF OPERATIONS)
(585) 336-4841
Entity
Organization

Contact information

Practice address
535 SUMMIT POINT DR, SUITE #3, HENRIETTA, NY 14467-9606
(585) 324-9662
Mailing address
800 CARTER ST, ROCHESTER, NY 14621-2604

Taxonomy

Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
024623
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02058611
NY
01
3311937
INFUSION PHARMACY
NY
01
P0170059LH
HOME INFUSION SUPPLIER #
NY
Enumeration date
12/19/2006
Last updated
02/13/2008
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