GENESEE VALLEY GROUP HEALTH ASSOCIATION (NPI# 1144346875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144346875 |
| 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 |
| Practice Fax Number | 7166564074 |
| Mailing Telephone | 7166686170 |
| Mailing Fax Number | 7166564074 |
| Enumeration Date | 2007-03-22 |
| 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 |
|---|---|---|---|---|---|
| X | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| X | 136A00000X | Dietetic Technician, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | GROUP # FOR HCP NUTRITION | 00011283017 | 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 |
| 1891906962 | Genesee Valley Group Health Association | General Practice | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-05-24 |
| 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 |
| 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 |
| 1891906962 | Genesee Valley Group Health Association | General Practice | 130 Empire Dr, West Seneca, NY 14224-1320 | 2007-05-24 |
| 1174649925 | Genesee Valley Group Health Association | Psychologist | 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 |
| Find all providers in the same location | ||||
| 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 | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908832 | Natalie Rae Palumbo | Nutritionist | 380 Hill St, Southampton, NY 11968-5327 | 2020-10-05 |
| 1912516972 | Sophia Aslanis | Nutritionist | 57 W 57th St Ste 900, New York, NY 10019-2813 | 2020-07-27 |
| 1225652357 | Amanda Dipietro | Nutritionist | 123 Hope St Apt 2l, Brooklyn, NY 11211-3984 | 2020-06-04 |
| 1366063232 | Nyc Naturally, Inc. | Nutritionist | 792 Route 35, Cross River, NY 10518-1118 | 2020-05-02 |
| 1992324578 | Kelly Brock | Nutritionist | 1 Ireland Pl, Amityville, NY 11701-2955 | 2020-04-13 |
| 1740828847 | Evelina Sodt | Nutritionist | 65 Main St Fl 1, Warwick, NY 10990-1346 | 2019-12-19 |
| 1891332276 | Emily Wallis | Nutritionist | 315 Oakwood St, Rome, NY 13440-3806 | 2019-12-05 |
| 1639713969 | Ilana Lauer | Nutritionist | 759 Wilson Ct, Valley Stream, NY 11581-3531 | 2019-10-30 |
| 1558917591 | Helenica Yusuf | Nutritionist | 1 Brookdale Plaza 2acc- Q Rm 229-e, Brooklyn, NY 11212-3198 | 2019-08-15 |
| 1386101178 | Melissa Danielle O'shea | Nutritionist | 109 Manitou Trl, Kings Park, NY 11754-4550 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST SENECA |
| Zip Code | 14224 |
Please comment or provide details below to improve the information on GENESEE VALLEY GROUP HEALTH ASSOCIATION.
| 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.