Inter Lakes Medical Supply INC
NPI #1093866048 in Ticonderoga, New York
Provider Information
- NPI Number
- 1093866048
- Entity Type
- Organization
- Organization Name
- Inter Lakes Medical Supply INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Feb 8, 2010
Practice Location
- Address
- 1019 WICKER ST
- City
- Ticonderoga
- State
- New York
- ZIP Code
- 12883-1039
- Phone
- (518) 585-3734
Authorized Official
- Name
- MR. KEVIN HAUGHNEY
- Title
- CFO
- Phone
- (518) 585-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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