GENESEE VALLEY GROUP HEALTH ASSOCIATION (NPI# 1891906962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891906962 |
Entity Type | Organization |
Organization Name | GENESEE VALLEY GROUP HEALTH ASSOCIATION |
Other Organization Name | LIFETIME HEALTH MEDICAL GROUP |
Practice Address |
130 Empire Dr West Seneca NY 14224-1320 |
Practice Telephone | 7166686170 |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DEBORAH CARLASCIO (VICE PRESIDENT REGIONAL OPERATIONS) |
Authorized Official Telephone | 5853381400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | MEDICARE RAILROAD GROUP # | DC7264 | 01 |
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 |
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 |
130 EMPIRE DR |
City | WEST SENECA |
State | NY |
Zip Code | 14224-1320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558327643 | Ann R Powell | Advanced Practice Midwife | 130 Empire Dr, Empire Drive Health Center, West Seneca, NY 14224 | 2006-04-26 |
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 |
1083731566 | Genesee Valley Group Health Assocation | Radiology | 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 |
1164548913 | Genesee Valley Group Health Association | Psychiatry & Neurology | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-22 |
1770609539 | Genesee Valley Group Health Association | Social Worker | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-22 |
1659405975 | Genesee Valley Group Health Association | Internal Medicine | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-03-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528338 | Jaimee Coscia | Behavior Technician | Autism Learning Partners Buffalo, 905a Union Rd #213, West Seneca, NY 14224 | 2020-11-04 |
1437711413 | Sara Jean Bucci | Massage Therapist | 4214 Clinton Street, West Seneca, NY 14224 | 2019-07-01 |
1679036115 | Darcy Zappia | Behavior Technician | 950a Union Rd #108, West Seneca, NY 14224 | 2019-04-11 |
1750858981 | Joelle Susan Wagner | Student in an Organized Health Care Education/Training Program | 767 Main Street, West Seneca, NY 14224 | 2018-10-25 |
1629545900 | Victoria A Luongo | Physician Assistant | 189 Fieldcrest Ct., West Seneca, NY 14224 | 2018-10-25 |
1659873776 | Lianna Marie Carroll | Physician Assistant | 1026 Union Road, West Seneca, NY 14224 | 2018-03-05 |
1124535141 | Joshua Conrad | Registered Nurse | 1010 East and West Road, West Seneca, NY 14224 | 2017-12-30 |
1285156232 | Southtowns P.t., Pllc | Physical Therapist | 100 Union Rd., West Seneca, NY 14224 | 2017-07-12 |
1164944260 | Patricia Ann Fenzel | Massage Therapist | 1909 Union Road, West Senca, NY 14224 | 2017-07-10 |
1356877666 | Megan A Malachowski | Physical Therapy Assistant | 67 Cove Creek Run, Buffalo, NY 14224 | 2017-05-05 |
Find all providers in zip 14224 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689687857 | Jahangir Koleini | General Practice | 2339 Uniun Road, Suite 1, West Seneca, NY 14224-1447 | 2006-08-15 |
1952524134 | Chung S Lee | General Practice | 1200 E and West Rd, West Seneca, NY 14224-3604 | 2007-04-10 |
1699895599 | Gloria S Quirante | General Practice | 1200 E and West Rd, West Seneca, NY 14224-3604 | 2007-04-02 |
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---|---|---|---|---|
1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
Find all providers with the same taxonomy |
City | WEST SENECA |
Zip Code | 14224 |
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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.