Organization
LAKESIDE HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FLORENCE NDIKUM NDONGWA NP (NURSE PRACTITIONER)
(585) 957-5050
Entity
Organization
Contact information
Practice address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 395-6095
Mailing address
128 COUNTRY WOOD LNDG, ROCHESTER, NY 14626-4408
(585) 957-5050
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
F430661-1
NY
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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