Provider First Line Business Practice Location Address:
301 PROSPECT AVE
Provider Second Line Business Practice Location Address:
ST. JOSEPH HOSPITAL HEALTH CENTER EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-448-5101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/18/2006