Lakeside Medical Practice Pllc

LBN: Lakeside Medical Practice Pllc
Lakeside Medical Practice Pllc is an health care organization with primary practice located at 133 E Fairmount Ave , Lakewood NY 14750-1948. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Lakeside Medical Practice Pllc can be contacted via phone (716) 526-1183, or through Snow, Alicia via phone (716) 499-5464.

Contact Information

Primary practice address
133 E Fairmount Ave Lakewood NY 14750-1948
Phone: (716) 526-1183
Fax: (716) 526-1165
Website:
Map and Directions
Authorized official contact:
Name: Snow, Alicia Physician's Assistant Certified (PA-C)
Phone: (716) 499-5464

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1518720291
LBN Legal business name Lakeside Medical Practice Pllc
DBA Doing business as
Authorized official Snow, Alicia Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2024
Last updated Feb 5th, 2024 - about last year

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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