Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Intrepid Lane Anesthesia Group PLLC

Organization Anesthesiology Physician · NPI 1093704363

Intrepid Lane Anesthesia Group PLLC is an Anesthesiology Physician in Syracuse, New York. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

190 Intrepid Ln
Syracuse, NY 13205-2545
Phone: (315) 498-6200
Fax: (315) 498-6462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1093704363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Campanile — President · (315) 498-6200
NPI enumeratedOctober 19, 2005
Last updated in NPPESAugust 9, 2007
Mailing addressPo Box 2005, East Syracuse, NY 13057-4505

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