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NPI Code Detail

MEDICARE: SPECIALISTS ONE- DAY SURGERY LLC

MEDICARE: SPECIALISTS ONE- DAY SURGERY 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
1261QA1903XAmbulatory Surgical Clinic/Center33012 16RNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639261365
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIALISTS ONE- DAY SURGERY LLC
Provider Business Mailing Address
First Line : 5801 E TAFT RD
Second Line :
City : SYRACUSE
State : NY
Zip : 13212-3291
Country : US
Telephone Number : 315-418-4155
Fax Number : 315-498-6203
Provider Business Practice Location Address
First Line : 5801 E TAFT RD
Second Line :
City : SYRACUSE
State : NY
Zip : 13212-3291
Country : US
Telephone Number : 315-418-4155
Fax Number : 315-498-6200
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALAN J LEMLEY
Credential : MD
Telephone Number : 315-498-6200
Provider Enumeration Date : 09/29/2006
Last Update Date : 07/29/2021

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Directions to “SPECIALISTS ONE- DAY SURGERY LLC ” Practice Location

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