DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LAKE PLACID SPORTS MEDICINE, PLLC

MEDICARE: LAKE PLACID SPORTS MEDICINE, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1841371143
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKE PLACID SPORTS MEDICINE, PLLC
Provider Business Mailing Address
First Line : PO BOX 790
Second Line :
City : LAKE PLACID
State : NY
Zip : 12946-0790
Country : US
Telephone Number : 518-523-1327
Fax Number : 518-523-9964
Provider Business Practice Location Address
First Line : 203 OLD MILITARY RD
Second Line :
City : LAKE PLACID
State : NY
Zip : 12946-1738
Country : US
Telephone Number : 518-523-1327
Fax Number : 518-523-9964
Authorized Official
Title or Position : PRACTICE MANAGER
Name : KACIE MURPHY
Credential :
Telephone Number : 518-523-1327
Provider Enumeration Date : 10/17/2006
Last Update Date : 05/29/2024

Similar Medicare Providers

1952309411 — WILLIAM JAMES SMITH MD
Practice Location Address:
203 OLD MILITARY RD
LAKE PLACID, NY
12946-1738
Practice Phone: 518-523-1327
Practice Fax: 518-523-9964
1912905068 — EUGENE BYRNE MD
Practice Location Address:
203 OLD MILITARY RD
LAKE PLACID, NY
12946-1738
Practice Phone: 518-523-1327
Practice Fax: 518-523-9964
1588635999 — DR. DAVID MICHAEL GARRISON M.D.
Practice Location Address:
203 OLD MILITARY RD
LAKE PLACID, NY
12946-1738
Practice Phone: 518-523-1717
Practice Fax:
1366544017 — DR. DANIEL P BULLOCK MD
Practice Location Address:
203 OLD MILITARY RD
LAKE PLACID, NY
12946-1738
Practice Phone: 518-523-1327
Practice Fax: 518-523-9964
1083703326 — PATRICIA GALLAGHER CRNFA
Practice Location Address:
203 OLD MILITARY RD
LAKE PLACID, NY
12946-1738
Practice Phone: 518-523-1327
Practice Fax: 518-523-9964
1679732473 — DR. TRACEY A VIOLA D.O.
Practice Location Address:
203 OLD MILITARY RD
LAKE PLACID, NY
12946-1738
Practice Phone: 518-523-1327
Practice Fax: 518-523-9964

Directions to “LAKE PLACID SPORTS MEDICINE, PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.