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Intrepid Lane Asc, Llc
Ambulatory Surgical Clinic/Center in Syracuse, New York
NPI 1184378846

Intrepid Lane Asc, Llc is an Ambulatory Surgical Clinic/Center based in Liverpool, NY and is specialized in Ambulatory Surgical. Intrepid Lane Asc, Llc practices in Syracuse, NY. The NPI Number for Intrepid Lane Asc, Llc is 1184378846 and holds a License No. (New York).

The current practice location address for Intrepid Lane Asc, Llc is 190 Intrepid Ln, Syracuse, NY and can be reached out via phone at 315-870-9370.

Location: 190 Intrepid Ln, Syracuse, NY, 13088-5842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184378846
Provider Name
Intrepid Lane Asc, Llc
Credential
Provider Entity Type
Organization
Address
190 Intrepid Ln, Syracuse, NY, 13088-5842
Phone Number
315-870-9370
Fax Number
Provider Enumeration Date
02/10/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
190 Intrepid Ln
City
Syracuse
State
New York
Zip
13205-2545
Phone Number
315-870-9370
Fax Number
person
Provider Business Mailing Address Details
Address
190 Intrepid Ln
City
Syracuse
State
New York
Zip
13205-2545
Phone Number
315-870-9370
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
()
Definition
Definition to come...
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