Organization
LAKE VIEW MEDTRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER ADAM GILLEN (PRESIDENT)
(518) 593-9905
Entity
Organization
Contact information
Practice address
198 IDAHO AVE, PLATTSBURGH, NY 12903-3986
(518) 593-9905
Mailing address
198 IDAHO AVE, PLATTSBURGH, NY 12903-3986
(518) 593-9905
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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