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Contact Information

GENESSEE VALLEY GROUP HEALTH ASSOC
2075 SHERIDAN DR
BUFFALO, NY14223-1432
 Phone: 716-874-1850
 Fax: 716-879-3280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GENESSEE VALLEY GROUP HEALTH ASSOC

NPI # 1205857265
LBN Legal business name GENESSEE VALLEY GROUP HEALTH ASSOC
Authorized official CYNTHIA AMBRES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # 027327
NY Medicaid 02619212
Other 3374686 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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