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General NPI Number Information
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NPI Number | 1205932167
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Entity Type | Organization
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Legal Business Name | GENESEE VALLEY GROUP HEALTH ASSOCIATION
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 470 LONG POND RD GREECE HEALTH CENTER PHARMACY
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City | ROCHESTER
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State | NY
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Zip | 14612-3056
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Country | US
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Telephone | 585-248-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 800 CARTER ST ATTENTION: KELLY STEELE
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City | ROCHESTER
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State | NY
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Zip | 14621-2604
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Country | US
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Telephone | 585-339-4793
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. DEBORAH CARLASCIO
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Credential |
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Telephone | 585-336-4841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 018428
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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