LIFETIME HEALTH MEDICAL GROUP
NPI 1104842178
Clinic/Center in Pittsford, NY

Q: What is Genesee Valley Group Health Association's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since July 14, 2006

77 SULLYS TRL, PITTSFORD, NY 14534(585) 248-5300 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lifetime Health Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFETIME HEALTH MEDICAL GROUP (NPI 1104842178) is a healthcare organization registered as a clinic/center in Pittsford, New York and active in the NPI registry since July 2006. The organization lists Deborah Carlascio, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1104842178

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameGENESEE VALLEY GROUP HEALTH ASSOCIATION

Location Address77 SULLYS TRLPittsford, NY 14534-3754

Mailing Address77 Sullys TrlPittsford, NY 14534-3754 · (585) 248-5300

Phone(585) 248-5300

Organization SubpartNo

Authorized OfficialDeborah CarlascioVice President Of Operations · (585) 248-5300

Enumeration DateJuly 14, 2006

Last NPPES UpdateDecember 20, 2016

✔ NPI 1104842178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X

Also ListedOptometristTaxonomy 152W00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedOphthalmologyTaxonomy 207W00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedEyewear SupplierTaxonomy 332H00000X

77 SULLYS TRL, Pittsford, NY 14534

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Other Names 1

Doing Business AsLifetime Health Medical Group

Other Identifiers 5

Medicare NSC1307940004NY

Medicare PIN17513ANY

Medicare NSC1307940002NY

Medicare NSC1307940003NY

Medicare NSC1307940005NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. VINCENT LOUIS REDA BS

Pharmacist