IL
INTREPID LANE ASC, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
SYRACUSE, NY
Licensed since
2022
Rate
—
Federal identifiers
NPI registry number1184378846
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients1,033
Authorized official
NameELAN SALZHAUER
TitleCMO
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