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GENESEE VALLEY GROUP HEALTH ASSOCIATION NPI 1144384991


NPI Information

NPI: 1144384991
Provider Name: GENESEE VALLEY GROUP HEALTH ASSOCIATION

Doing Business As: LIFETIME HEALTH MEDICAL GROUP

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
470 LONG POND RD
ATTENTION PHARMACY
ROCHESTER, NY
ZIP 14612
Phone: (585) 227-7906
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GENESEE VALLEY GROUP HEALTH ASSOCIATION is a clinic pharmacy pharmacy in Rochester, 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. GENESEE VALLEY GROUP HEALTH ASSOCIATION NPI is 1144384991. 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:

470 LONG POND RD
ATTENTION PHARMACY
ROCHESTER, NY
ZIP 14612-056
Phone: (585) 227-7906
Fax: (585) 227-5548

The provider's authorized official is Arthur E Orlick .
The authorized official title is President & Chief Medical Officer and has the following contact phone number (716) 656-4034.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 5/15/2009.


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
1332B00000XDurable Medical Equipment & Medical Supplies018428NEW YORKNo
23336C0002XPharmacyClinic Pharmacy018428NEW YORKYes

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
11307940004MEDICARE NSCNEW YORK
201853832MEDICAIDNEW YORK

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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