Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eastern Niagara Medical Group

Organization Family Medicine Physician · NPI 1346796398

Eastern Niagara Medical Group provides Family Medicine Physician services in Lockport, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

53 Elizabeth Dr
Lockport, NY 14094-5226 Not confirmed with CMS for 10 years — call before visiting
Phone: (716) 514-5501
Fax: (716) 514-5549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3101000H (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 3101000H (NY)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 3101000H (NY)

Record details

NPI number1346796398
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEastern Niagara Hospital, Inc
Authorized official Michael Ickowski — Cfo · (716) 514-5501
NPI enumeratedAugust 30, 2016
Last updated in NPPESSeptember 1, 2016
Mailing address521 East Ave, Lockport, NY 14094-3201

Other providers in Lockport