Lakeside Health System Medical Services

NPI #1891025508 in Brockport, New York

Provider Information

NPI Number: 1891025508
Entity Type: Organization
Organization Name: Lakeside Health System Medical Services
Primary Specialty: Hospitalist
Enumeration Date: Dec 31, 2009
Last Updated: Jan 5, 2010

Practice Location

Address: 156 WEST AVE
City: Brockport
State: New York
ZIP Code: 14420-1229
Phone: (716) 637-3131

Authorized Official

Name: MICHAEL STAPLETON
Title: CEO
Phone: (585) 395-6095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Internal Medicine	207R00000X
Hospitalist	208M00000X	Primary

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