Provider First Line Business Practice Location Address:
VA MEDICAL CENTER, 800 IRVING AVENUE
Provider Second Line Business Practice Location Address:
CARDIOLOGY
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-425-2935
Provider Business Practice Location Address Fax Number:
315-425-2937
Provider Enumeration Date:
06/26/2006