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INTERNAL MEDICINE AT LAKESIDE
NPI 1083939722
Internal Medicine in Brockport, NY

Active since April 06, 2010
156 WEST AVE, SUITE 106, BROCKPORT, NY 14420(585) 395-6095(585) 395-6084 Get Directions Write a Review

NPPES record last updated: April 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Internal Medicine At Lakeside NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERNAL MEDICINE AT LAKESIDE (NPI 1083939722) is a healthcare organization registered as an internal medicine in Brockport, New York and active in the NPI registry since April 2010. The organization lists Nancy M Wilson, Physician Practices, as its authorized official.

NPPES Registry Identity

NPI1083939722
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE AT LAKESIDE
Location Address156 WEST AVE, SUITE 106Brockport, NY 14420-1229
Mailing Address156 West Avenue, Suite 106Brockport, NY 14420 · (585) 395-6095 · Fax (585) 395-6084
Phone(585) 395-6095
Fax(585) 395-6084
Organization SubpartYesParent: Lakeside Memorial Hospital
Authorized OfficialNancy M WilsonPhysician Practices · (585) 395-6095
Enumeration DateApril 6, 2010
✔ NPI 1083939722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
156 WEST AVE, Brockport, NY 14420
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKESIDE IMAGING, LLC
Radiology (Diagnostic Radiology)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (716) 859-2954
DR. TIMOTHY VERNON HAGY M.D.
Emergency Medicine (Emergency Medical Services)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
UNIVERSITY OF ROCHESTER
Pharmacy (Community/Retail Pharmacy)
156 WEST AVE, PHARMACY
BROCKPORT, NY 14420
Monroe County (585) 758-7562
ERIK PETERSON D.O.
Emergency Medicine
156 WEST AVE, EMERGENCY DEPARTMENT
BROCKPORT, NY 14420
Monroe County (585) 395-6095
EMMA LEATHAM PA-C
Physician Assistant (Medical)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 758-7557
AMY LORRAINE STACY MS, RD, CDN
Dietitian, Registered
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
JORDAN BLOCK
Physical Therapist (Orthopedic)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 275-5321
ISABELLE JOY KARPOVICH
Physical Therapist (Orthopedic)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 341-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Internal Medicine At Lakeside's NPI number?

The NPI number for Internal Medicine At Lakeside is 1083939722. It was assigned to this organization in the NPPES registry on April 6, 2010.

Where is Internal Medicine At Lakeside located?

Internal Medicine At Lakeside is located at 156 West Ave Suite 106, Brockport, NY 14420. The listed phone number is (585) 395-6095.

What is Internal Medicine At Lakeside's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Internal Medicine At Lakeside was last updated on April 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.