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Lakeside Memorial Hospital Inc.
Specialist in Brockport, New York
NPI 1972522670

Lakeside Memorial Hospital Inc. is a Specialist based in Brockport, NY. Lakeside Memorial Hospital Inc. practices in Brockport, NY. The NPI Number for Lakeside Memorial Hospital Inc. is 1972522670 and holds a License No. 235519 (New York).

The current practice location address for Lakeside Memorial Hospital Inc. is 156 West Ave, Brockport, NY and can be reached out via phone at 585-637-6040 and via fax at 588-637-4737.

Location: 156 West Ave, Brockport, NY, 14420-1229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972522670
Provider Name
Lakeside Memorial Hospital Inc.
Credential
Provider Entity Type
Organization
Address
156 West Ave, Brockport, NY, 14420-1229
Phone Number
585-637-6040
Fax Number
588-637-4737
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0712876 01 NY INDEPENDENT HEALTH
7819729 01 NY AETNA
0027353001 01 NY UNIVERA
P010235519 01 NY BCBS ROCHESTER
00927965001 01 NY WNY
02675890 05 NY
170748CK 01 NY PREFFERED CARE
institution
Provider Business Practice Location Address Details
Address
156 West Ave
City
Brockport
State
New York
Zip
14420-1229
Phone Number
585-637-6040
Fax Number
588-637-4737
person
Provider Business Mailing Address Details
Address
156 West Ave
City
Brockport
State
New York
Zip
14420-1229
Phone Number
585-637-6040
Fax Number
588-637-4737
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
235519 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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