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LIFETIME HEALTH MEDICAL GROUP
NPI 1891729810
Clinic/Center in Central Square, NY

Active since July 10, 2006
3045 EAST AVENUE, CENTRAL SQUARE HEALTH CENTER, CENTRAL SQUARE, NY 13036(315) 676-2935(315) 671-6976 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lifetime Health Medical Group NPPES

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

LIFETIME HEALTH MEDICAL GROUP (NPI 1891729810) is a healthcare organization registered as a clinic/center in Central Square, New York and active in the NPI registry since July 2006. The organization lists Deborah Carlascio, Vice President Regional Operations, as its authorized official.

NPPES Registry Identity

NPI1891729810
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGENESEE VALLEY GROUP HEALTH ASSOCIATION
Location Address3045 EAST AVENUE, CENTRAL SQUARE HEALTH CENTERCentral Square, NY 13036
Mailing Address800 Carter StreetRochester, NY 14621 · (585) 339-4793 · Fax (585) 336-4845
Phone(315) 676-2935
Fax(315) 671-6976
Organization SubpartNo
Authorized OfficialDeborah CarlascioVice President Regional Operations · (585) 336-1400
Enumeration DateJuly 10, 2006
Last NPPES UpdateSeptember 8, 2008
✔ NPI 1891729810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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).
3045 EAST AVENUE, Central Square, NY 13036
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Other Names 1

Doing Business AsLifetime Health Medical Group

Other Identifiers 2

Medicaid00355266NY
Medicare ID-Type UnspecifiedAA0981NY

Other Providers at the Same Location NPPES

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

CLAUDIA F KRIDER PA
Physician Assistant
3045 EAST AVENUE
CENTRAL SQUARE, NY 13036
Oswego County (315) 676-2935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesee Valley Group Health Association's NPI number?

The NPI number for Genesee Valley Group Health Association is 1891729810. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Lifetime Health Medical Group.

Where is Genesee Valley Group Health Association located?

Genesee Valley Group Health Association is located at 3045 East Avenue Central Square Health Center, Central Square, NY 13036. The listed phone number is (315) 676-2935.

What is Genesee Valley Group Health Association's specialty?

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

When was this NPI record last updated?

The NPPES record for Genesee Valley Group Health Association was last updated on September 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.