| Lifetime Health Medical Group | |
|
130 Empire Dr West Seneca NY 14224-1320 | |
| (716) 668-6170 | |
| Not Available |
| Full Name | Lifetime Health Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 130 Empire Dr, West Seneca, New York |
| Authorized Official Name and Position | Deborah Carlascio (VICE PRESIDENT REGIONAL OPERATIONS) |
| Authorized Official Contact | 5853381400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Health Medical Group 130 Empire Dr West Seneca NY 14224-1320 Ph: () - | Lifetime Health Medical Group 130 Empire Dr West Seneca NY 14224-1320 Ph: (716) 668-6170 |
| NPI Number | 1891906962 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891906962 | NPI | - | NPPES |
| DC7264 | Other | NY | MEDICARE RAILROAD GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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