INTERLAKES ORTHOPAEDIC SURGERY PC NPI 1417191149

NPI Information

NPI: 1417191149
Provider Name: INTERLAKES ORTHOPAEDIC SURGERY, PC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
430 CLIFTON SPRINGS PROFESSIONAL PARK
CLIFTON SPRINGS, NY
ZIP 14432
Phone: (315) 462-3501
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INTERLAKES ORTHOPAEDIC SURGERY, PC is a durable medical equipment medical supplies in Clifton Springs, NY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. INTERLAKES ORTHOPAEDIC SURGERY, PC NPI is 1417191149. The provider is registered as an organization entity type.

The provider's business location address is:

430 CLIFTON SPRINGS PROFESSIONAL PARK
CLIFTON SPRINGS, NY
ZIP 14432-037
Phone: (315) 462-3501
Fax: (315) 462-3503

The provider's authorized official is James B Mark .
The authorized official title is Partner and has the following contact phone number (315) 789-0993.

The enumeration date for this NPI number is 4/24/2009 and was last updated on 4/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	32989A	MEDICARE PIN	NEW YORK
2	01556830	MEDICAID	NEW YORK
3	0457380001	MEDICARE NSC	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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