Organization
LAK SAM INC
Active
Other names
lak transportation
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTH P PATHTHAGE (PRESIDENT)
(518) 300-7819
Entity
Organization
Contact information
Practice address
19B HARTMAN RD, GLENMONT, NY 12077-4418
(518) 300-7819
Mailing address
19B HARTMAN RD, GLENMONT, NY 12077-4418
(518) 300-7819
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
04572414
NY
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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