National Provider Identifier
Genesee Valley Group Health Association
Genesee Valley Group Health Association is listed in the NPPES registry with a primary specialty of General Practice Physician in Rochester, NY and a listed phone number of (585) 338-1400.
Profile Overview
- NPI
- 1205046638
- Provider Type
- Organization
- Primary Specialty
- General Practice Physician
- Enumeration Date
- May 23, 2007
- Last Updated
- August 22, 2020
Practice Location
- 800 Carter St
- Rochester, NY 14621-2604
Phone: (585) 338-1400
Specialties
- General Practice Physician (208D00000X)
Full Record
- NPI
- 1205046638
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Genesee Valley Group Health Association
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 800 Carter St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-2604
- Mailing Country
- US
- Practice Street Address
- 800 Carter St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2604
- Practice Country
- US
- Practice Phone
- (585) 338-1400
- Enumeration Date
- May 23, 2007
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Carlascio
- Authorized Official First Name
- Deborah
- Authorized Official Title
- Vice President Regional Operations
- Authorized Official Phone
- (585) 338-1400
- Organization Subpart
- No
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Physician (208D00000X)
- Other Identifiers
- CA6026 (NY, Medicare Railroad Group #)