Provider First Line Business Practice Location Address: 
101 DATES DRIVE, CAYUGA MEDICAL CENTER
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
ITHACA
    Provider Business Practice Location Address State Name: 
NY
    Provider Business Practice Location Address Postal Code: 
14850
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
607-252-3457
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
04/01/2024