Lakeside Memorial Hospital Inc
Lakeside Memorial Hospital Inc provides General Practice Physician services in Brockport, New York. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
156 W AveBrockport, NY 14420 Not confirmed with CMS for 15 years — call before visiting
Phone: (585) 395-6095
Fax: (585) 395-6084
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1942359989 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Kingdollar — Accounts Receivable Manager · (585) 395-6095 |
| Other names | Lakeside Physician Group |
| NPI enumerated | January 9, 2007 |
| Last updated in NPPES | March 25, 2011 |
| Mailing address | 156 West Ave, Brockport, NY 14420 |