Healthcare Provider Details

I. General information

NPI: 1205932167
Provider Name (Legal Business Name): GENESEE VALLEY GROUP HEALTH ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 LONG POND RD GREECE HEALTH CENTER PHARMACY
ROCHESTER NY
14612-3056
US

IV. Provider business mailing address

800 CARTER ST ATTENTION: KELLY STEELE
ROCHESTER NY
14621-2604
US

V. Phone/Fax

Practice location:
  • Phone: 585-248-5300
  • Fax:
Mailing address:
  • Phone: 585-339-4793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number018428
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH CARLASCIO
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 585-336-4841