Syracuse Asc, LLC

Clinic/Center, Ambulatory Surgical in Liverpool, NY. Organization (NPI-2).

NPI number1265488563

StatusActive

Last updated in NPPESJan 30, 2023

Details

NPI: 1265488563
Entity type: Organization (NPI-2)
Legal business name: Syracuse Asc, LLC
Organization subpart: No
Enumeration date: May 26, 2006
Certification date: Jan 30, 2023
Last updated: Jan 30, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QA1903X	Clinic/Center, Ambulatory Surgical	3331212R	NY	Yes

Other names

Specialty Surgery Center Of Cny (Doing Business As)

Practice location

225 Greenfield Pkwy
Suite 105
Liverpool, NY 13088-6666

Phone 315-451-6911 Â· Fax 315-451-1540

Mailing address

225 Greenfield Pkwy
Suite 105
Liverpool, NY 13088-6666

Phone 315-451-6911 Â· Fax 315-451-1540

Authorized official

Rowena Ilag-Ferguson
Administrator
3154516911

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