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

Contact information

Practice address
1850 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623-2532
(585) 424-6210
Mailing address
800 CARTER ST, ROCHESTER, NY 14621-2604

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
017164
NY
333600000X
Pharmacy
Primary

Other

Enumeration date
12/19/2006
Last updated
09/11/2025
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