Organization
INTERLAKES ORTHOPAEDIC SURGERY, PC
Active
Parent organization
INTERLAKES ORTHOPAEDIC SURGERY, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERLAKES ORTHOPAEDIC SURGERY, PC
Authorized official
DR. JAMES B MARK MD (PARTNER)
(315) 789-0993
Entity
Organization
Contact information
Practice address
430 CLIFTON SPRINGS PROFESSIONAL PARK, CLIFTON SPRINGS, NY 14432-1037
(315) 462-3501
(315) 462-3503
Mailing address
430 CLIFTON SPRINGS PROFESSIONAL PARK, CLIFTON SPRINGS, NY 14432-1037
(315) 462-3501
(315) 462-3503
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01556830
—
NY
Enumeration date
04/24/2009
Last updated
04/27/2009
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