Provider First Line Business Practice Location Address:
140 STATE ROUTE 104
Provider Second Line Business Practice Location Address:
OSWEGO PLAZA EMPIRE VISION CENTERS
Provider Business Practice Location Address City Name:
OSWEGO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-342-0727
Provider Business Practice Location Address Fax Number:
315-342-3044
Provider Enumeration Date:
09/01/2006