MEDICARE: COLONIE ASC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician
2	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1013883982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLONIE ASC LLC

Provider Business Mailing Address
First Line	:	PO BOX 2005
Second Line	:
City	:	EAST SYRACUSE
State	:	NY
Zip	:	13057-4505
Country	:	US
Telephone Number	:	315-449-0513
Fax Number	:	315-362-5120

Provider Business Practice Location Address
First Line	:	207 TROY SCHENECTADY RD
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-5446
Country	:	US
Telephone Number	:	516-389-2869
Fax Number	:

Authorized Official
Title or Position	:	OWNER, AUTHORIZED OFFICIAL
Name	:	BRIAN F STRICKLER
Credential	:	MD
Telephone Number	:	518-374-0483

Provider Enumeration Date	:	10/16/2025
Last Update Date	:	10/16/2025

Similar Medicare Providers

1144192238 — ASHLEY FROHNHOEFER
Practice Location Address:

1184 TROY SCHENECTADY RD
LATHAM, NY
12110-1021

Practice Phone: 518-980-9088
Practice Fax: 518-980-9080

1326695917 — BETSY VARGHESE RAJAN NP
Practice Location Address:

713 TROY SCHENECTADY RD STE 224
LATHAM, NY
12110-2490

Practice Phone: 518-786-6270
Practice Fax: 518-786-6276

1063892560 — DR. IMRAN AKHTAR DO
Practice Location Address:

1182 TROY SCHENECTADY RD STE 100
LATHAM, NY
12110-1000

Practice Phone: 518-269-4690
Practice Fax:

1346771631 — KYLE BRAHIM ANGELICOLA-RICHARDSON MD
Practice Location Address:

1182 TROY SCHENECTADY RD STE 100
LATHAM, NY
12110-1000

Practice Phone: 518-269-4690
Practice Fax:

1588020242 — CHRISTINA MARIE COPPOLA DNP
Practice Location Address:

1182 TROY SCHENECTADY RD STE 100
LATHAM, NY
12110-1000

Practice Phone: 518-269-4690
Practice Fax:

1922623586 — SAMANTHA MARION HUTCHINS PA-C
Practice Location Address:

1182 TROY SCHENECTADY RD STE 100
LATHAM, NY
12110-1000

Practice Phone: 518-269-4690
Practice Fax:

Directions to “COLONIE ASC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.