Provider First Line Business Practice Location Address:
750 E ADAMS ST - DEPARTMENT OF INTERNAL MEDICINE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF INTERNAL MEDICINE
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13210-2342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-464-5774
Provider Business Practice Location Address Fax Number:
315-464-1937
Provider Enumeration Date:
06/15/2009