Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Internal Medicine at Lakeside

Internal Medicine Physician in Brockport, NY · enumerated 2010 · authorized official Nancy Wilson, Physician Practices.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083939722

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Registry record

Entity type Organization (Type 2)

Legal business name Internal Medicine at Lakeside

Parent organization Lakeside Memorial Hospital

Practice address 156 West Ave, Suite 106, Brockport, NY, 14420

Phone (585) 395-6095

Fax (585) 395-6084

Enumeration date Apr 6, 2010

Last updated in NPPES Apr 6, 2010

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Nancy Wilson

Title Physician Practices

Phone (585) 395-6095

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Internal Medicine at Lakeside located?

The practice location on file with NPPES is in Brockport, NY.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-04-06. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-06.