Organization
INTERLAKES ORTHOPAEDIC SURGERY, PC
Active
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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