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

Lakeside Memorial Hospital Inc

Organization Specialist · NPI 1972522670

Lakeside Memorial Hospital Inc is a Specialist in Brockport, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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 Ste 104
Brockport, NY 14420-1229
Phone: (585) 637-6040
Fax: (588) 637-4737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 235519 (NY)

Record details

NPI number1972522670
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLakeside Memorial Hospital Inc
Authorized official Stacey Share — Medical Biller · (585) 637-6040
Other names Lakeside Ob/Gyn
NPI enumeratedJuly 19, 2006
Last updated in NPPESJuly 13, 2010
Mailing address156 West Ave, Suite 104, Brockport, NY 14420-1229

Other providers in Brockport