Organization
CANALSIDE PRIMARY CARE PC
Active
Other names
Lynne Ross MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE SUSAN ROSS MD (OWNER)
(716) 690-2001
Entity
Organization
Contact information
Practice address
43 NIAGARA ST, NORTH TONAWANDA, NY 14120-6115
(716) 690-2001
(716) 690-2239
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
229399
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02494544
—
NY
Enumeration date
03/01/2007
Last updated
12/26/2019
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