# INTREPID LANE ASC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Intrepid Lane Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184378846
- **Authorized official:** ELAN SALZHAUER MD (CMO)
- **Authorized official phone:** (315) 870-9370

## Contact information

- **Practice address:** 190 INTREPID LN, SYRACUSE, NY 13205-2545
- **Practice address phone:** (315) 870-9370
- **Mailing address:** 100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY 13088-5842
- **Mailing address phone:** (315) 870-9370
- **Mailing address fax:** (315) 870-9364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/10/2022
- **Last updated:** 01/07/2026