NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1093704363
INTREPID LANE ANESTHESIA GROUP PLLC
PO BOX 2005
EAST SYRACUSE
NY
130574505
1275728024
FAURIE
PATRICIA
PO BOX 2005
EAST SYRACUSE
NY
130574505
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