Provider First Line Business Practice Location Address:
840 UPPER FRONT ST
Provider Second Line Business Practice Location Address:
OCCUPATIONAL HEALTH CLINICAL CENTER
Provider Business Practice Location Address City Name:
BINGHAMTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13905-1566
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-584-9990
Provider Business Practice Location Address Fax Number:
607-584-9997
Provider Enumeration Date:
11/01/2006