Provider First Line Business Practice Location Address:
1372 STATE ROUTE 5
Provider Second Line Business Practice Location Address:
CHITTENANGO HEALTHCARE CENTER
Provider Business Practice Location Address City Name:
CHITTENANGO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13037-8763
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-687-5100
Provider Business Practice Location Address Fax Number:
315-687-0252
Provider Enumeration Date:
11/06/2006