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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

Other

Enumeration date
02/10/2022
Last updated
01/07/2026
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