Organization
GENESEE VALLEY GROUP HEALTH ASSOCIATION
Active
Other names
Lifetime Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH CARLASCIO (VICE PRESIDENT REGIONAL OPERATIONS)
(585) 338-1400
Entity
Organization
Contact information
Practice address
470 LONG POND RD, ROCHESTER, NY 14612-3056
(585) 227-7600
Mailing address
470 LONG POND RD, ROCHESTER, NY 14612-3056
(585) 227-7600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307940004
DME NUMBER FOR GREECE
NY
Enumeration date
03/16/2007
Last updated
08/22/2020
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