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GENESEE VALLEY GROUP HEALTH ASSOCIATION NPI 1710030341


NPI Information

NPI: 1710030341
Provider Name: GENESEE VALLEY GROUP HEALTH ASSOCIATION

Doing Business As: LIFETIME HEALTH MEDICAL GROUP

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
800 CARTER ST
ROCHESTER, NY
ZIP 14621
Phone: (585) 338-1400
Get Directions

GENESEE VALLEY GROUP HEALTH ASSOCIATION is a podiatrist in Rochester, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. GENESEE VALLEY GROUP HEALTH ASSOCIATION NPI is 1710030341. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lifetime Health Medical Group.

The provider's business location address is:

800 CARTER ST
ROCHESTER, NY
ZIP 14621-604
Phone: (585) 338-1400
Fax: (585) 336-4845

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) 336-4841.

The enumeration date for this NPI number is 1/18/2007 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
1213E00000XPodiatristYes

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
1G0185419595OTHERNEW YORKGROUP NUMBER FOR BILLING

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: 11/14/2023

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