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Organization
SYRACUSE ASC LLC
Active
Organization
SYRACUSE ASC LLC
Active
Parent organization
SYRACUSE ASC LLC
Other names
SSC of CNY Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
SYRACUSE ASC LLC
Authorized official
ROWENA ILAG-FERGUSON (ADMINISTRATOR)
(315) 451-6911
Entity
Organization
Contact information
Practice address
225 GREENFIELD PKWY STE 105, LIVERPOOL, NY 13088-6673
(315) 451-6911
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 362-5129
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/06/2024
Last updated
03/06/2025
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