INTREPID LANE ASC, LLC

SYRACUSE, NY
NPI1184378846
Entity TypeOrganization
Authorized ContactBENJAMIN R MCHONE
Cmo
315-870-9370
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2022-02-10
Last Update Date2022-03-31
Business Address
INTREPID LANE ASC, LLC
190 INTREPID LN
SYRACUSE, NY 13205-2545
Phone number: 315-870-9370
Mailing Address
INTREPID LANE ASC, LLC
100 METROPOLITAN PARK DR STE 100
LIVERPOOL, NY 13088-5842
Phone number: 315-870-9370
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