Lifetime Health Medical Group

LBN: Genesee Valley Group Health Association
Lifetime Health Medical Group is an health care organization with primary practice located at 535 Summit Point Dr Suite #3, Henrietta NY 14467-9606. The organization recently has only one registered license in Suppliers / Home Infusion Therapy Pharmacy, which is considered as the primary health care specialty. Genesee Valley Group Health Association can be contacted via phone (585) 324-9662, or through Carlascio, Deborah via phone (585) 336-4841.

Contact Information

Primary practice address
535 Summit Point Dr Suite #3 Henrietta NY 14467-9606
Phone: (585) 324-9662
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carlascio, Deborah
Phone: (585) 336-4841

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 024623 New York

Profile Details

NPI number 1265596019
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 Yes
Enumeration date Dec 19th, 2006
Last updated Feb 13th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265596019 NPPES
New York Other P0170059LH HOME INFUSION SUPPLIER #
New York Other 3311937 HOME INFUSION SUPPLIER #
New York MEDICAID 02058611 HOME INFUSION SUPPLIER #

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