Inter Lakes Medical Supply Inc
Durable Medical Equipment & Medical Supplies
1019 Wicker St, Ticonderoga
New York, 12883-1039
518-585-3734 518-585-2334
Inter Lakes Medical Supply Inc is a Durable Medical Equipment & Medical Supplies in Ticonderoga, New York. It is located at 1019 Wicker St, Ticonderoga and it's customer support contact number is 518-585-3734. The authorized person of Inter Lakes Medical Supply Inc is Mr. Kevin Haughney who is Cfo of this DME and his contact number is 518-585-3700. Active license number of Inter Lakes Medical Supply Inc is 332B00000X for Durable Medical Equipment & Medical Supplies in New York.
Inter Lakes Medical Supply Inc is 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.
DME Supplier Details:
Inter Lakes Medical Supply Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Inter Lakes Medical Supply Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1019 Wicker St, Ticonderoga,
New York, 12883-1039 |
| Phone: | 518-585-3734 |
| Fax: | 518-585-2334 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Kevin Haughney |
| Position: | Cfo |
| Contact Number: | 518-585-3700 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1093866048 |
| NPI Enumeration Date: | 16 Jan, 2007 |
| NPI Last Update On: | 08 Feb, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Inter Lakes Medical Supply Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02410819 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1019 Wicker St,
Ticonderoga, New York |
| Zip: | 12883-1039 |
| Phone Number: | 518-585-3734 |
| Fax Number: | 518-585-2334 |
Patients can reach Inter Lakes Medical Supply Inc at
1019 Wicker St, Ticonderoga, New York or can
call on customer care at 518-585-3734.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.