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Contact Information

ONTARIO LAKESIDE MEDICAL ASSOCIATES
90 W UTICA ST
OSWEGO, NY13126
 Phone: 315-342-8552
 Fax: 315-342-8572
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ONTARIO LAKESIDE MEDICAL ASSOCIATES · (Female)

NPI # 1184645368
Status Active
Credentials
Entity Individual
Enumeration date 07/22/2006
Last updated 07/10/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 1828341
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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