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

Lakeshore Family Medicine, PC

Organization Primary Care Clinic/Center · NPI 1124229489

Lakeshore Family Medicine, PC is a Primary Care Clinic/Center in Cicero, 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

6221 Rte 31 Ste 108
Cicero, NY 13039
Phone: (315) 699-5982
Fax: (315) 699-7221
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X (NY)

Record details

NPI number1124229489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clyde Satterly — Md · (315) 699-5982
NPI enumeratedMay 31, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6221 Route 31, Suite 108, Cicero, NY 13039