Organization
LAKESIDE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SILBER MD (PRESIDENT)
(716) 859-2954
Entity
Organization
Contact information
Practice address
156 WEST AVE, BROCKPORT, NY 14420-1229
(716) 859-2954
Mailing address
156 WEST AVE, BROCKPORT, NY 14420-1229
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02852633
—
NY
Enumeration date
10/10/2006
Last updated
12/03/2014
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