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

Lakeside Memorial Hospital Inc

Organization Emergency Medicine Physician · NPI 1609109925

Lakeside Memorial Hospital Inc is an Emergency Medicine Physician in Brockport, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

156 W Ave
Brockport, NY 14420-1229
Phone: (585) 395-6095
Fax: (585) 395-6036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Pediatric Emergency Medicine (Emergency Medicine) Physician Taxonomy 207PP0204X (NY)
Emergency Care Clinic/Center Taxonomy 261QE0002X (NY)

Record details

NPI number1609109925
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLakeside Memorial Hospital Inc
Authorized official Michael Stapleton — Ceo · (585) 395-6095
Other names Lakeside Emergency
NPI enumeratedSeptember 18, 2009
Last updated in NPPESJuly 14, 2010
Mailing address156 West Ave, Brockport, NY 14420-1229

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