Provider First Line Business Practice Location Address:
1 FOX CARE DR
Provider Second Line Business Practice Location Address:
STE 104 FOX CARE CENTER
Provider Business Practice Location Address City Name:
ONEONTA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-432-7178
Provider Business Practice Location Address Fax Number:
607-432-8274
Provider Enumeration Date:
12/21/2005