Lifetime Health Medical Group
LBN: Genesee Valley Group Health Association
Lifetime Health Medical Group is an health care organization with primary practice located at 130 Empire Dr , West Seneca NY 14224-1320. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietetic Technician, Registered. Dietary & Nutritional Service Providers / Nutrition, Education is the primary health care specialty.
Genesee Valley Group Health Association can be contacted via phone (716) 668-6170, or through Carlascio, Deborah via phone (585) 338-1400.
Contact Information
Primary practice address
130 Empire Dr
West Seneca NY 14224-1320
Phone: (716) 668-6170
Fax: (716) 656-4074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
| Dietary & Nutritional Service Providers / Dietetic Technician, Registered | 136A00000X |
Profile Details
| NPI number | 1144346875 |
|---|---|
| LBN Legal business name | Genesee Valley Group Health Association |
| DBA Doing business as | Lifetime Health Medical Group |
| Authorized official | Carlascio, Deborah |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144346875 | NPPES |
| New York | Other | 00011283017 | GROUP # FOR HCP NUTRITION |
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