Lifetime Health Medical Group

LBN: Genesee Valley Group Health Association
Lifetime Health Medical Group is an health care organization with primary practice located at 120 Gardenville Pkwy W Pharmacy, West Seneca NY 14224-1324. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Genesee Valley Group Health Association can be contacted via phone (716) 656-4070, or through Ambres, Cynthia via phone (716) 857-6191.

Contact Information

Primary practice address
120 Gardenville Pkwy W Pharmacy West Seneca NY 14224-1324
Phone: (716) 656-4070
Fax: (716) 656-4330
Website:
Map and Directions
Authorized official contact:
Name: Ambres, Cynthia MD,MS
Phone: (716) 857-6191

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X 027322 New York

Profile Details

NPI number 1225138548
LBN Legal business name Genesee Valley Group Health Association
DBA Doing business as Lifetime Health Medical Group
Authorized official Ambres, Cynthia MD,MS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225138548 NPPES
New York MEDICAID 02618748
New York Other 027322
New York Other 3366742

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