GENESEE VALLEY GROUP HEALTH (NPI# 1679986574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679986574 |
| Entity Type | Organization |
| Organization Name | GENESEE VALLEY GROUP HEALTH |
| Other Organization Name | LIFETIME HEALTH MEDICAL GROUP |
| Practice Address |
899 Main St Buffalo NY 14203-1109 |
| Mailing Address |
333 Butternut Dr Syracuse NY 13214-2141 |
| Practice Telephone | 7168782700 |
| Mailing Telephone | 3156716951 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |
| Authorized Official Name | DEB CARLASCIO (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 5853896066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 003001856 | 05 |
| Other Name | Type Code |
|---|---|
| Lifetime Health Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588077481 | Genesee Valley Group Health | Clinic/Center | 1850 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2532 | 2014-06-09 |
| 1851704753 | Genesee Valley Group Health | Clinic/Center | 120 Gardenville Pkwy W, West Seneca, NY 14224-1324 | 2014-06-09 |
| 1396158291 | Genesee Valley Group Health | Clinic/Center | 470 Long Pond Rd, Rochester, NY 14612-3057 | 2014-06-09 |
| 1285047183 | Genesee Valley Group Health | Clinic/Center | 1185 Sweet Home Rd, Amherst, NY 14226-1018 | 2014-06-09 |
| 1659405181 | Genesee Valley Group Health | Internal Medicine | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-15 |
| Street Address |
899 MAIN ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831155936 | Sherrie H Bernat | Nurse Practitioner | 899 Main St, William E Mosher Health Center, Buffalo, NY 14203-1109 | 2006-04-26 |
| 1851612121 | Megan Mary Kroll | Nurse Practitioner | 899 Main St, Buffalo, NY 14203-1109 | 2010-06-21 |
| 1447582465 | Brent Nelson Lange | Pharmacist | 899 Main St, Buffalo, NY 14203-1109 | 2010-02-01 |
| 1235464587 | Michael R Brynildsen | Physician Assistant | 899 Main St, Buffalo, NY 14203-1109 | 2009-10-05 |
| 1316122674 | Lorraine Charlotte Narby | Nurse Practitioner | 899 Main St, Buffalo, NY 14203-1109 | 2008-01-07 |
| 1912187139 | James Washington | Dentist | 899 Main St, Buffalo, NY 14203-1109 | 2007-11-05 |
| 1699954768 | Erika Elishia Copeland | Physician Assistant | 899 Main St, Buffalo, NY 14203-1109 | 2007-10-25 |
| 1780702167 | Jill Elizabeth Wierchowski | Dentist | 899 Main St, Buffalo, NY 14203-1109 | 2007-03-26 |
| 1750415071 | Genesee Valley Group Health Association | Clinic/Center | 899 Main St, Buffalo, NY 14203-1109 | 2007-03-16 |
| 1306917109 | Victor Frank Casciano | Pharmacist | 899 Main St, Buffalo, NY 14203 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1013538917 | Leen Hosam Alyacoub | Student in an Organized Health Care Education/Training Program | 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 | 2020-05-01 |
| 1003436601 | Maxiam Dean | Student in an Organized Health Care Education/Training Program | Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 | 2020-04-23 |
| 1144849837 | Jennifer Anthone-kloss | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-13 |
| 1821658873 | Peter William Ip Fung Chun | Student in an Organized Health Care Education/Training Program | 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 | 2019-06-20 |
| Find all providers in zip 14203 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 1639464324 | Buffalo Vista Urgent Family Care, Pllc | Clinic/Center | 1045 E Railroad, Buffalo, TX 75831 | 2011-06-10 |
| 1649884263 | Urban Family Practice PC | Clinic/Center | 564 Niagara St, Buffalo, NY 14201-1108 | 2020-09-01 |
| 1245775642 | Allina Health System | Clinic/Center | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313-5074 | 2016-12-21 |
| 1679802672 | Richard Joseph Heesen | Clinic/Center | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2009-12-22 |
| 1568627321 | West Side Medical Care | Clinic/Center | 564 Niagara St, Buffalo, NY 14201-1108 | 2008-07-22 |
| 1750415071 | Genesee Valley Group Health Association | Clinic/Center | 899 Main St, Buffalo, NY 14203-1109 | 2007-03-16 |
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| 1902425192 | City Medical of Upper East Side, Pllc | Clinic/Center | 3494 Jerome Ave, Bronx, NY 10467-1002 | 2020-04-09 |
| 1558980748 | City Medical of Upper East Side, Pllc | Clinic/Center | 10202 Liberty Ave, Ozone Park, NY 11417-1727 | 2020-04-09 |
| 1548889736 | City Medical of Upper East Side, Pllc | Clinic/Center | 22405 Jamaica Ave, Queens Village, NY 11428-2019 | 2020-04-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
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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.