Lifetime Health Medical Group

LBN: Genessee Valley Group Health Assoc
Lifetime Health Medical Group is an health care organization with primary practice located at 2075 Sheridan Dr , Buffalo NY 14223-1432. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Genessee Valley Group Health Assoc can be contacted via phone (716) 874-1850, or through Ambres, Cynthia via phone (716) 857-4587.

Contact Information

Primary practice address
2075 Sheridan Dr Buffalo NY 14223-1432
Phone: (716) 874-1850
Fax: (716) 879-3280
Website:
Map and Directions
Authorized official contact:
Name: Ambres, Cynthia Doctor of Medicine (MD)
Phone: (716) 857-4587

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 027327 New York

Profile Details

NPI number 1205857265
LBN Legal business name Genessee Valley Group Health Assoc
DBA Doing business as Lifetime Health Medical Group
Authorized official Ambres, Cynthia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 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 1205857265 NPPES
New York MEDICAID 02619212
New York Other 3374686

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