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 only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as 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:
Website:
Map and Directions
Authorized official contact:
Name: Carlascio, Deborah
Phone: (585) 338-1400

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1174649925
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 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174649925 NPPES
New York Other 00011283019 GROUP# BEH HEALTH PHD

Popular Providers