Provider First Line Business Practice Location Address:
90 PRESIDENTIAL PLAZA UHCC- PERINATAL CETER
Provider Second Line Business Practice Location Address:
UNIVERSITY HOSPITAL/UPSTATE 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:
13202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-464-4458
Provider Business Practice Location Address Fax Number:
315-464-6388
Provider Enumeration Date:
09/14/2012