Lakeside Memorial Hospital INC.
Specialist in Brockport, NY. Organization (NPI-2).
NPI number1740504141
StatusActive
Last updated in NPPESJul 13, 2010
Details
- NPI
- 1740504141
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakeside Memorial Hospital INC.
- Organization subpart
- Yes
- Enumeration date
- Mar 15, 2010
- Last updated
- Jul 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Other names
- Lakeside Urology (Other Name)
Practice location
156 West AveBrockport, NY 14420-1229
Phone 585-395-6095
Mailing address
156 West AveBrockport, NY 14420-1229
Phone 585-395-6095
Authorized official
Stacey Sshare
Biller
5853956095
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Other Specialist providers in Brockport, NY
- Cecil J Haggerty Jr MD PCNPI 1497057624
- Janay ClemontsNPI 1437078011
- Lakeside Memorial Hospital INC.NPI 1972522670
- Theresa Fox Lehman, MSED.NPI 1972853653
- Michael Mark Militello, ATCNPI 1629136809
- Kelly NauerthNPI 1457737835
- Tvi Lehman ServicesNPI 1023352549
All 8 Specialist providers in Brockport · All 444 providers in Brockport
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