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

Lakeside Memorial Hospital Inc

Organization Specialist · NPI 1972522670

Lakeside Memorial Hospital Inc provides Specialist services in Brockport, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

156 W Ave Ste 104
Brockport, NY 14420-1229 Not confirmed with CMS for 16 years — call before visiting
Phone: (585) 637-6040
Fax: (588) 637-4737
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 235519 (NY)

Record details

NPI number1972522670
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLakeside Memorial Hospital Inc
Authorized official Stacey Share — Medical Biller · (585) 637-6040
Other names Lakeside Ob/Gyn
NPI enumeratedJuly 19, 2006
Last updated in NPPESJuly 13, 2010
Mailing address156 West Ave, Suite 104, Brockport, NY 14420-1229

Other providers in Brockport