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Organization
INTREPID LANE ASC, LLC
Active
Organization
INTREPID LANE ASC, LLC
Active
Other names
Intrepid Lane Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELAN SALZHAUER MD (CMO)
(315) 870-9370
Entity
Organization
Contact information
Practice address
190 INTREPID LN, SYRACUSE, NY 13205-2545
(315) 870-9370
Mailing address
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY 13088-5842
(315) 870-9370
(315) 870-9364
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/10/2022
Last updated
01/07/2026
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