Lakeside Anesthesia Pllc

NPI #1447455985 in Brockport, New York

Provider Information

NPI Number: 1447455985
Entity Type: Organization
Organization Name: Lakeside Anesthesia Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Jun 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 156 WEST AVE
Address 2: SUITE 201
City: Brockport
State: New York
ZIP Code: 14420-1229
Phone: (585) 395-6095

Authorized Official

Name: SCOTT BERRY
Title: PRESIDENT MD
Phone: (585) 395-6095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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