Provider First Line Business Practice Location Address:
1304 BUCKLEY RD
Provider Second Line Business Practice Location Address:
LABORATORY ALLIANCE OF CNY
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13212-4302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-461-3037
Provider Business Practice Location Address Fax Number:
315-461-3030
Provider Enumeration Date:
08/03/2006