Lakeside Hospital Internal Medicine Group

NPI #1962555854 in Brockport, New York

Provider Information

NPI Number
1962555854
Entity Type
Organization
Organization Name
Lakeside Hospital Internal Medicine Group
Primary Specialty
Internal Medicine
Enumeration Date
Jan 22, 2007
Last Updated
Jul 14, 2009

Practice Location

Address
156 WEST AVE
ZIP Code
14420-1229
Phone
(585) 395-6095

Authorized Official

Name
RAJENDRA MEHTA, M.D.
Title
PARTNER
Phone
(585) 637-9196

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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