Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canalside Primary Care PC

Organization Family Medicine Physician · NPI 1174651046

Canalside Primary Care PC is a Family Medicine Physician in North Tonawanda, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

43 Niagara St
North Tonawanda, NY 14120-6115
Phone: (716) 690-2001
Fax: (716) 690-2239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 229399 (NY)

Record details

NPI number1174651046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynne Ross — Owner · (716) 690-2001
Other names Lynne Ross Md Pc
NPI enumeratedMarch 1, 2007
Last updated in NPPESDecember 26, 2019
Certification dateDecember 26, 2019
Mailing address908 Niagara Falls Blvd Ste 208, North Tonawanda, NY 14120-2019

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