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

Our Lady of Lourdes Memorial Hospital, Inc

Organization Family Medicine Physician · NPI 1063557189

Our Lady of Lourdes Memorial Hospital, Inc is a Family Medicine Physician in Binghamton, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
9
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

169 Riverside Dr
Binghamton, NY 13905-4246
Phone: (607) 584-5459
Fax: (607) 584-5482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0301001H (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0301001H (NY)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 0301001H (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 0301001H (NY)
Surgery Physician Taxonomy 208600000X
Hospitalist Physician Taxonomy 208M00000X · Licence 0301001H (NY)
Podiatrist Taxonomy 213E00000X · Licence 0301001H (NY)
Physician Assistant Taxonomy 363A00000X · Licence 0301001H (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 0301001H (NY)

Record details

NPI number1063557189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Baron — Director Of Patient Financial Servi · (607) 584-5459
Other names Lourdes
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJune 3, 2008
Mailing address169 Riverside Dr, Binghamton, NY 13905-4246

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