Provider First Line Business Practice Location Address:
800 IRVING AVENUE
Provider Second Line Business Practice Location Address:
DEPT. OF SURGERY (112), SYRACUSE VA MEDICAL 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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-425-2643
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/19/2006