| NPI | 1184378846 |
|---|---|
| Doing Business As | INTREPID LANE AMBULATORY SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | ELAN SALZHAUER Cmo 315-870-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2026-01-07 |