Provider First Line Business Practice Location Address:
620 MADISON ST.
Provider Second Line Business Practice Location Address:
HUTCHINGS PSYCHIATRIC CENTER
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13210-1811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-426-3600
Provider Business Practice Location Address Fax Number:
315-426-6888
Provider Enumeration Date:
09/06/2006