Provider First Line Business Practice Location Address:
110 HO PLAZA
Provider Second Line Business Practice Location Address:
GANNETT HEALTH SERVICES
Provider Business Practice Location Address City Name:
ITHACA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14853
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-255-6106
Provider Business Practice Location Address Fax Number:
607-254-3503
Provider Enumeration Date:
10/15/2009