GENESEE VALLEY GROUP HEALTH ASSOCIATION (NPI# 1073936662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073936662 |
Entity Type | Organization |
Organization Name | GENESEE VALLEY GROUP HEALTH ASSOCIATION |
Other Organization Name | LIFETIME HEALTH MEDICAL GROUP |
Practice Address |
1850 Brighton Henrietta Town Line Rd Rochester NY 14623-2532 |
Mailing Address |
333 Butternut Dr 3rd Floor Attn: Toni Radley Syracuse NY 13214-2141 |
Practice Telephone | 5853381200 |
Mailing Telephone | 3156716951 |
Mailing Fax Number | 3156716976 |
Enumeration Date | 2014-02-03 |
Last Update Date | 2014-02-03 |
Authorized Official Name | MRS. DEBORAH CARLASCIO (VICE PRESIDENT OF OPERATIONS) |
Authorized Official Telephone | 5853896066 |
Is Organization Subpart | Y |
Parent Organization Name | GENESEE VALLEY GROUP HEALTH ASSOCIATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00355266 | 05 |
Other Name | Type Code |
---|---|
Lifetime Health Medical Group | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265596019 | Genesee Valley Group Health Association | Pharmacy | 535 Summit Point Dr, Suite #3, Henrietta, NY 14467-9606 | 2006-12-19 |
1891729810 | Genesee Valley Group Health Association | Clinic/Center | 3045 East Avenue, Central Square Health Center, Central Square, NY 13036 | 2006-07-10 |
1295170660 | Genesee Valley Group Health Association | Clinic/Center | 800 Carter St, Rochester, NY 14621-2604 | 2013-04-30 |
1891906962 | Genesee Valley Group Health Association | General Practice | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-05-24 |
1205046638 | Genesee Valley Group Health Association | General Practice | 800 Carter St, Rochester, NY 14621-2604 | 2007-05-23 |
1174649925 | Genesee Valley Group Health Association | Psychologist | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-22 |
1144346875 | Genesee Valley Group Health Association | Nutritionist | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-22 |
1316063928 | Genesee Valley Group Health Association | Physical Therapist | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-22 |
1114043742 | Genesee Valley Group Health Association | Clinic/Center | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-22 |
1437275922 | Genesee Valley Group Health Association | Pharmacy | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-22 |
Street Address |
1850 BRIGHTON HENRIETTA TOWN LINE RD |
City | ROCHESTER |
State | NY |
Zip Code | 14623-2532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629084298 | Maggie E Reilly | Physician Assistant | 1850 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2532 | 2006-08-01 |
1588077481 | Genesee Valley Group Health | Clinic/Center | 1850 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2532 | 2014-06-09 |
1518091834 | Genesee Valley Group Health Association | Durable Medical Equipment & Medical Supplies | 1850 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2532 | 2007-03-16 |
1912057555 | Thuy Xuan Dao Priest | Optometrist | 1850 Brighton Henrietta Town Line Rd, Eye Services, Rochester, NY 14623-2532 | 2007-01-12 |
1497811939 | Genesee Valley Group Health Association | Pharmacy | 1850 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2532 | 2006-12-29 |
1265596076 | Genesee Valley Group Health Association | Clinic/Center | 1850 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2532 | 2006-12-19 |
1497857783 | Michelle Di Tusa | Optometrist | 1850 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2532 | 2006-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
Find all providers in zip 14623 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033717277 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Bellwood Dr, Rochester, NY 14606-4262 | 2020-10-10 |
1053977421 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1620 Broadway Ave S Ste 4, Rochester, MN 55904-7927 | 2019-05-11 |
1740633031 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2854 41st St Nw, Suite 103, Rochester, MN 55901-7825 | 2016-07-21 |
1588036479 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 600 Jefferson Rd, Suite 3, Rochester, NY 14623-3230 | 2015-10-30 |
1396139838 | Strong Optical Shop | Eyewear Supplier (Equipment, not the service) | 1317 Mount Hope Ave, Rochester, NY 14620-3923 | 2015-03-23 |
1538553268 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 335 Westfall Road, Rochester, NY 14620 | 2015-03-19 |
1962801878 | The Association for The Blind and Visually Impaired - Goodwill Industr | Eyewear Supplier (Equipment, not the service) | 500 S Clinton Ave, Rochester, NY 14620-1198 | 2014-08-15 |
1316271695 | Highlander Healthcare Supply Services Inc | Eyewear Supplier (Equipment, not the service) | 847 Goodman St S, Rochester, NY 14620-2523 | 2009-09-20 |
1700018363 | Kls Optical Inc. | Eyewear Supplier (Equipment, not the service) | 215 Elton Hills Dr Nw, #26, Rochester, MN 55901-2482 | 2009-08-17 |
1891982724 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4611 Main Ave Se, Rochester, MN 55904-5904 | 2007-09-25 |
Find all providers in ROCHESTER |
Please comment or provide details below to improve the information on GENESEE VALLEY GROUP HEALTH ASSOCIATION.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.