Genesee Vly Grp Hlth-Flsm Phcy
LBN: Lifetime Health Med Grp
Genesee Vly Grp Hlth-Flsm Phcy is an health care organization with primary practice located at 1850 Brighton Henrietta Tl Rd , Rochester NY 14623-2532. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Lifetime Health Med Grp can be contacted via phone (585) 292-8400, or through Ambres, Cynthia via phone (716) 857-6191.
Contact Information
Primary practice address
1850 Brighton Henrietta Tl Rd
Rochester NY 14623-2532
Phone: (585) 292-8400
Fax: (585) 292-6598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 017164 | New York |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1073557823 |
|---|---|
| LBN Legal business name | Lifetime Health Med Grp |
| DBA Doing business as | Genesee Vly Grp Hlth-Flsm Phcy |
| Authorized official | Ambres, Cynthia Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2006 |
| 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 | 1073557823 | NPPES |
| New York | MEDICAID | 01853745 | |
| New York | Other | 3371678 |
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