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 1639136153

Lakeside Memorial Hospital Inc is an Emergency Medicine Physician in Brockport, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

General Acute Care Hospital (primary) Taxonomy 282N00000X
Emergency Medicine Physician Taxonomy 207P00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X (NY)

Record details

NPI number1639136153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Stapleton — Ceo · (585) 395-6095
NPI enumeratedApril 27, 2006
Last updated in NPPESAugust 25, 2009
Mailing address156 West Ave, Brockport, NY 14420-1229

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