Lifetime Health Medical Group
LBN: Genesee Valley Group Health Association
Lifetime Health Medical Group is an health care organization with primary practice located at 2075 Sheridan Dr Pharmacy, Buffalo NY 14223-1432. 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) 847-1850, or through Ambres, Cynthia via phone (716) 857-6191.
Contact Information
Primary practice address
2075 Sheridan Dr Pharmacy
Buffalo NY 14223-1432
Phone: (716) 847-1850
Fax: (716) 879-3280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Institutional Pharmacy | 3336I0012X | 027327 | New York |
Profile Details
| NPI number | 1285734483 |
|---|---|
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285734483 | NPPES |
| New York | Other | 027327 | NYS LICENSE # |
| New York | Other | 3374686 | NYS LICENSE # |
| New York | MEDICAID | 02619212 | NYS LICENSE # |
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