Organization
THE LAKE MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDDY DESORMEAUX M.D. (M.D.)
(914) 509-5836
Entity
Organization
Contact information
Practice address
171 LAKE RD, SUITE 1, HUNTINGTON, NY 11743-3947
(914) 509-5836
(914) 357-2489
Mailing address
171 LAKE RD, SUITE 1, HUNTINGTON, NY 11743-3947
(914) 509-5836
(914) 357-2489
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
250020
NY
Other
Enumeration date
07/08/2014
Last updated
09/24/2014
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