Lynne Ross Md Pc

LBN: Canalside Primary Care Pc
Lynne Ross Md Pc is an health care organization with primary practice located at 43 Niagara St , North Tonawanda NY 14120-6115. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Canalside Primary Care Pc can be contacted via phone (716) 690-2001, or through Ross, Lynne Susan via phone (716) 690-2001.

Contact Information

Primary practice address
43 Niagara St North Tonawanda NY 14120-6115
Fax: (716) 690-2239
Website:
Authorized official contact:
Name: Ross, Lynne Susan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 229399 New York

Profile Details

NPI number 1174651046
LBN Legal business name Canalside Primary Care Pc
DBA Doing business as Lynne Ross Md Pc
Authorized official Ross, Lynne Susan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Dec 26th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174651046 NPPES
New York MEDICAID 02494544

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