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

Lakeside Hospital Internal Medicine Group

Organization Internal Medicine Physician · NPI 1962555854

Lakeside Hospital Internal Medicine Group is an Internal Medicine Physician in Brockport, New York. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

156 W Ave
Brockport, NY 14420-1229
Phone: (585) 395-6095
Fax: (585) 395-6036
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1962555854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rajendra Mehta — Partner · (585) 637-9196
NPI enumeratedJanuary 22, 2007
Last updated in NPPESJuly 14, 2009
Mailing address156 West Ave, Brockport, NY 14420-1229

Other providers in Brockport