Provider First Line Business Practice Location Address:
33 E SCHUYLER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OSWEGO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13126-1161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-343-6974
Provider Business Practice Location Address Fax Number:
315-342-3625
Provider Enumeration Date:
09/27/2006