Organization
INTERLAKES ORTHOPAEDIC SURGERY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B MARK MD (PARTNER)
(315) 789-0993
Entity
Organization
Contact information
Practice address
293 W NORTH ST, GENEVA, NY 14456-1530
(315) 789-0993
(315) 789-0281
Mailing address
293 W NORTH ST, GENEVA, NY 14456-1530
(315) 789-0993
(315) 789-0281
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01556830
—
NY
Enumeration date
07/16/2006
Last updated
04/24/2009
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