Intrepid Lane Anesthesia Group Pllc

LBN: Intrepid Lane Anesthesia Group Pllc
Intrepid Lane Anesthesia Group Pllc is an health care organization with primary practice located at 190 Intrepid Ln , Syracuse NY 13205-2545. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Intrepid Lane Anesthesia Group Pllc can be contacted via phone (315) 498-6200, or through Campanile, David via phone (315) 498-6200.

Contact Information

Primary practice address
190 Intrepid Ln Syracuse NY 13205-2545
Phone: (315) 498-6200
Fax: (315) 498-6462
Website:
Map and Directions
Authorized official contact:
Name: Campanile, David Doctor of Medicine (MD)
Phone: (315) 498-6200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1093704363
LBN Legal business name Intrepid Lane Anesthesia Group Pllc
DBA Doing business as
Authorized official Campanile, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 9th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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