Lakeside Hospital Internal Medicine Group
LBN: Lakeside Hospital Internal Medicine Group
Lakeside Hospital Internal Medicine Group is an health care organization with primary practice located at 156 West Ave , Brockport NY 14420-1229. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Lakeside Hospital Internal Medicine Group can be contacted via phone (585) 395-6095, or through Mehta, Rajendra via phone (585) 637-9196.
Contact Information
Primary practice address
156 West Ave
Brockport NY 14420-1229
Phone: (585) 395-6095
Fax: (585) 395-6036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1962555854 |
|---|---|
| LBN Legal business name | Lakeside Hospital Internal Medicine Group |
| DBA Doing business as | |
| Authorized official | Mehta, Rajendra Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 14th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962555854 | NPPES |
| New York | Other | G0181141590 | BLUE CROSS |
| New York | MEDICAID | 02198570 | BLUE CROSS |
| New York | Other | MG150 | BLUE CROSS |
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