Organization
LAKESIDE ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BERRY (PRESIDENT MD)
(585) 395-6095
Entity
Organization
Contact information
Practice address
156 WEST AVE, SUITE 201, BROCKPORT, NY 14420-1229
(585) 395-6095
Mailing address
5000 BRITTONFIELD PKWY, EAST SYRACUSE, NY 13057-9226
(315) 362-5129
(315) 362-5179
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NY
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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