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

Internal Medicine at Lakeside

Organization Internal Medicine Physician · NPI 1083939722

Internal Medicine at Lakeside is an Internal Medicine Physician in Brockport, New York. Medicare rates this nursing home 4 out of 5. Registered with an NPI since 2010.

CMS rating
4 of 5
In the registry since
2010
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CMS quality rating

4 out of 5 — official nursing home rating from CMS Care Compare (CCN 335569)
Health inspection4.0 / 5
Staffing1.0 / 5
Quality measures5.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

156 W Ave Ste 106
Brockport, NY 14420-1229
Phone: (585) 395-6095
Fax: (585) 395-6084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1083939722
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLakeside Memorial Hospital
Authorized official Nancy Wilson — Physician Practices · (585) 395-6095
NPI enumeratedApril 6, 2010
Last updated in NPPESApril 6, 2010
Mailing address156 West Avenue, Suite 106, Brockport, NY 14420

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