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

Lakeside Anesthesia PLLC

Organization Anesthesiology Physician · NPI 1447455985

Lakeside Anesthesia PLLC is an Anesthesiology Physician in Brockport, 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?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

156 W Ave Ste 201
Brockport, NY 14420-1229
Phone: (585) 395-6095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X (NY)

Record details

NPI number1447455985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Berry — President Md · (585) 395-6095
NPI enumeratedJune 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5000 Brittonfield Pkwy, East Syracuse, NY 13057-9226

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