GENESSEE VALLEY GROUP HEALTH ASSOC NPI 1205857265

NPI Information

NPI: 1205857265
Provider Name: GENESSEE VALLEY GROUP HEALTH ASSOC

Doing Business As: LIFETIME HEALTH MEDICAL GROUP

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
2075 SHERIDAN DR
BUFFALO, NY
ZIP 14223
Phone: (716) 874-1850
Get Directions

GENESSEE VALLEY GROUP HEALTH ASSOC is a clinic pharmacy pharmacy in Buffalo, NY. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. GENESSEE VALLEY GROUP HEALTH ASSOC NPI is 1205857265. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifetime Health Medical Group.

The provider's business location address is:

2075 SHERIDAN DR
BUFFALO, NY
ZIP 14223-432
Phone: (716) 874-1850
Fax: (716) 879-3280

The provider's authorized official is Cynthia Ambres .
The authorized official title is President and has the following contact phone number (716) 857-4587.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336C0002X	Pharmacy	Clinic Pharmacy	027327	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02619212	MEDICAID	NEW YORK
2	3374686	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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