Genesee Valley Group Health Association
Radiology, Diagnostic Radiology in Rochester, NY. Organization (NPI-2).
NPI number1073666871
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1073666871
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesee Valley Group Health Association
- Organization subpart
- No
- Enumeration date
- Jan 18, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | NY | Yes |
Other names
- Lifetime Health Medical Group (Doing Business As)
Practice location
800 Carter StRochester, NY 14621-2604
Phone 585-338-1400 · Fax 585-336-4845
Mailing address
800 Carter StRochester, NY 14621-2604
Phone 585-338-1400 · Fax 585-336-4845
Authorized official
Deborah Carlascio
Vice President Regional Operations
5853364841
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