Basic Information
| Provider Information | |||||||||
| NPI: | 1437700333 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LINCARE INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3556 LAKE SHORE RD STE 212 | ||||||||
| Address2: | |||||||||
| City: | BLASDELL | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142191400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7275307700 | ||||||||
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| Practice Location | |||||||||
| Address1: | 313 USHERS RD STE 31 | ||||||||
| Address2: | |||||||||
| City: | BALLSTON LAKE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 120191552 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5184067258 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2019 | ||||||||
| LastUpdateDate: | 07/27/2021 | ||||||||
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| AuthorizedOfficialLastName: | MCCARTHY | ||||||||
| AuthorizedOfficialFirstName: | GREGORY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF OPERATIONS OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 7275307700 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | AO | ||||||||
| NPICertificationDate: | 07/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.