Provider First Line Business Practice Location Address:
3452 STATE ROUTE 31
Provider Second Line Business Practice Location Address:
BALDWINSVILLE FAMILY MEDICAL CARE
Provider Business Practice Location Address City Name:
BALDWINSVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13027-9231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-652-1325
Provider Business Practice Location Address Fax Number:
315-652-1972
Provider Enumeration Date:
09/27/2006