GENESEE VALLEY GROUP HEALTH ASSOCIATION (NPI# 1295751261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295751261 |
Entity Type | Organization |
Organization Name | GENESEE VALLEY GROUP HEALTH ASSOCIATION |
Other Organization Name | LIFETIME HEALTH MEDICAL GROUP |
Practice Address |
1185 Sweet Home Rd Amherst NY 14226-1018 |
Practice Telephone | 7166689004 |
Practice Fax Number | 7166893467 |
Mailing Telephone | 7166890040 |
Mailing Fax Number | 7166893467 |
Enumeration Date | 2006-07-14 |
Last Update Date | 2015-08-05 |
Authorized Official Name | DEBORAH CARLASCIO (VICE PRESIDENT REGIONAL OPERATIONS) |
Authorized Official Telephone | 5853364841 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
N | 333600000X | Pharmacy | Suppliers | ||
N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 3001856 | 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 |
1073936662 | Genesee Valley Group Health Association | Eyewear Supplier (Equipment, not the service) | 1850 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2532 | 2014-02-03 |
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 |
Street Address |
1185 SWEET HOME RD |
City | AMHERST |
State | NY |
Zip Code | 14226-1018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932197514 | Carol E Calhoun | Physician Assistant | 1185 Sweet Home Rd, Amherst, NY 14226-1018 | 2005-10-08 |
1285047183 | Genesee Valley Group Health | Clinic/Center | 1185 Sweet Home Rd, Amherst, NY 14226-1018 | 2014-06-09 |
1548518152 | Klara Manning | Pharmacist | 1185 Sweet Home Rd, Amherst, NY 14226-1018 | 2012-08-29 |
1831410125 | Laura Elizabeth Lufkin | Registered Nurse | 1185 Sweet Home Rd, Amherst, NY 14226-1018 | 2010-06-21 |
1700114493 | Semira Khalid Khawar | Family Medicine | 1185 Sweet Home Rd, Amherst, NY 14226-1018 | 2009-11-18 |
1033349923 | Zuzanna Maria Rozmus | Family Medicine | 1185 Sweet Home Rd, Amherst, NY 14226-1018 | 2009-07-25 |
1679711428 | Melissa Anne Iversen | Physician Assistant | 1185 Sweet Home Rd, Amherst, NY 14226-1018 | 2009-02-02 |
1336348770 | Alison K Meagher | Pharmacist | 1185 Sweet Home Rd, Amherst, NY 14226-1018 | 2007-07-16 |
1669506986 | Genesee Valley Group Health Association | Clinic/Center | 1185 Sweet Home Rd, Amherst, NY 14226-1018 | 2007-03-16 |
1427187723 | Andrea Ann Link | Pharmacist | 1185 Sweet Home Rd, Amherst, NY 14226-1018 | 2007-03-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
1942846209 | Anthony Constance | Occupational Therapist | Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 | 2019-11-21 |
1730743931 | Mark Marcello | Physical Therapy Assistant | 4498 Main/harlem Rd Suite 24, Amherst, NY 14226 | 2019-04-24 |
1528531084 | Kimberly Girdlestone | Social Worker | 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 | 2019-01-08 |
1043781503 | Justin Patrick Nelson | Physical Therapist | 4498 Main St. Suite 24, Amherst, NY 14226 | 2018-12-10 |
1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
1790260982 | Orchard Park Dentalcare Pllc | Clinic/Center | 3302 Sheridan Dr, Buffalo, NY 14226 | 2018-10-03 |
1619472719 | Rapha Family Medical Wellness PC | Family Medicine | 3610 Main Street, Amherst, NY 14226 | 2018-03-29 |
1790299832 | Medical Ecp of Western New York P C | Internal Medicine | 4330 Maple Rd Ste 102, Amherst, NY 14226 | 2017-11-28 |
1841709425 | Elisabeth Wagner | Physical Therapy Assistant | 4498 Main St., Suite 24, Amherst, NY 14226 | 2017-09-26 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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---|---|---|---|---|
1104143551 | Gfd LLC | Clinic/Center | 1 John James Audubon Parkway, Amherst, NY 14228-1143 | 2010-04-26 |
1972624427 | Little Steps Pediatric Therapy P C | Clinic/Center | 9485 Hwy 40, Amherst, NE 68812 | 2007-04-03 |
1326687625 | River Valley Acupuncture | Clinic/Center | 441 West St, Amherst, MA 01002-2997 | 2020-01-03 |
1477086890 | Herrington Family Chiropractic Pllc | Clinic/Center | 350 Alberta Dr, Ste 204, Amherst, NY 14226 | 2017-04-04 |
1750833091 | Amherst Family Chiropractic PC | Clinic/Center | 228 Triangle St, Amherst, MA 01002-2979 | 2016-11-03 |
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1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
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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.