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INTER LAKES MEDICAL SUPPLY INC
NPI 1093866048
Durable Medical Equipment & Medical Supplies in Ticonderoga, NY

Active since January 16, 2007
1019 WICKER ST, TICONDEROGA, NY 12883(518) 585-3734(518) 585-2334 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Inter Lakes Medical Supply Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTER LAKES MEDICAL SUPPLY INC (NPI 1093866048) is a healthcare organization registered as a durable medical equipment & medical supplies in Ticonderoga, New York and active in the NPI registry since January 2007. The organization lists Kevin Haughney, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093866048
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameINTER LAKES MEDICAL SUPPLY INC
Location Address1019 WICKER STTiconderoga, NY 12883-1039
Mailing Address1019 Wicker StTiconderoga, NY 12883-1039 · (518) 585-3734 · Fax (518) 585-2334
Phone(518) 585-3734
Fax(518) 585-2334
Organization SubpartNo
Authorized OfficialKevin HaughneyCfo · (518) 585-3700
Enumeration DateJanuary 16, 2007
Last NPPES UpdateFebruary 8, 2010
✔ NPI 1093866048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in NY · 332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1019 WICKER ST, Ticonderoga, NY 12883
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Other Identifiers 2

Medicare ID-Type Unspecified4732980001NY
Medicaid02410819NY

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIM VILARDO PT
Physical Therapist
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3810
NORTH COUNTRY SPORTS MEDICINE PLLC
Orthopaedic Surgery
1019 WICKER ST, MOSES LUDINGTON HOSPITAL
TICONDEROGA, NY 12883
Essex County (518) 793-9156
MOSES-LUDINGTON HOSPITAL
General Acute Care Hospital (Critical Access)
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3700
MOSES-LUDINGTON HOSPITAL
General Acute Care Hospital (Critical Access)
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3810
MRS. FRANCINE BRETT BASSETT FNP
Nurse Practitioner (Family)
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3700
KATHERINE K SHMULSKY PHARM D
Pharmacist
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3755
MOSES LUDINGTON HOSPITAL
General Acute Care Hospital (Critical Access)
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 585-3855
JAMES O GABLER RPA-C
Physician Assistant
1019 WICKER ST
TICONDEROGA, NY 12883
Essex County (518) 761-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inter Lakes Medical Supply Inc's NPI number?

The NPI number for Inter Lakes Medical Supply Inc is 1093866048. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Inter Lakes Medical Supply Inc located?

Inter Lakes Medical Supply Inc is located at 1019 Wicker St, Ticonderoga, NY 12883. The listed phone number is (518) 585-3734.

What is Inter Lakes Medical Supply Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Inter Lakes Medical Supply Inc was last updated on February 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.