Lifetime Health Medical Group

LBN: Genesee Valley Group Health Association
Lifetime Health Medical Group is an health care organization with primary practice located at 3045 East Avenue Central Square Health Center, Central Square NY 13036. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Genesee Valley Group Health Association can be contacted via phone (315) 676-2935, or through Carlascio, Deborah via phone (585) 336-1400.

Contact Information

Primary practice address
3045 East Avenue Central Square Health Center Central Square NY 13036
Phone: (315) 676-2935
Fax: (315) 671-6976
Website:
Map and Directions
Authorized official contact:
Name: Carlascio, Deborah
Phone: (585) 336-1400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1891729810
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 Jul 10th, 2006
Last updated Sep 8th, 2008 - about 17 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 1891729810 NPPES
New York MEDICAID 00355266

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