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GENESEE VALLEY GROUP HEALTH ASSOCATION NPI 1083731566


NPI Information

NPI: 1083731566
Provider Name: GENESEE VALLEY GROUP HEALTH ASSOCATION

Doing Business As: LIFETIME HEALTH MEDICAL GROUP

Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
130 EMPIRE DR
WEST SENECA, NY
ZIP 14224
Phone: (716) 668-6170
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GENESEE VALLEY GROUP HEALTH ASSOCATION is a body imaging radiology in West Seneca, NY. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. GENESEE VALLEY GROUP HEALTH ASSOCATION NPI is 1083731566. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifetime Health Medical Group.

The provider's business location address is:

130 EMPIRE DR
WEST SENECA, NY
ZIP 14224-320
Phone: (716) 668-6170

The provider's authorized official is Deborah Carlascio .
The authorized official title is Vice President Regional Operations and has the following contact phone number (585) 338-1400.

The enumeration date for this NPI number is 3/22/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingYes
22085R0202XRadiologyDiagnostic RadiologyX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100011283016OTHERNEW YORKGROUP# RADIOLOGY

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

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