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Inter Lakes Medical Supply Inc

Durable Medical Equipment & Medical Supplies in Ticonderoga, NY · enumerated 2007 · authorized official Kevin Haughney, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093866048

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Registry record

Entity type Organization (Type 2)
Legal business name Inter Lakes Medical Supply Inc
Practice address 1019 Wicker St, Ticonderoga, NY, 12883
Fax (518) 585-2334
Enumeration date Jan 16, 2007
Last updated in NPPES Feb 8, 2010

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 332B00000X (NY) Primary

Authorized official

Name Kevin Haughney
Title Cfo

Other identifiers

Identifier Type State Issuer
02410819 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Inter Lakes Medical Supply Inc?
The NPI for Inter Lakes Medical Supply Inc is 1093866048, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Inter Lakes Medical Supply Inc?
NPPES lists Kevin Haughney (Cfo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-02-08.