Provider First Line Business Practice Location Address:
7879 OSWEGO RD
Provider Second Line Business Practice Location Address:
EMPIRE VISION CENTER RTE 57
Provider Business Practice Location Address City Name:
LIVERPOOL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13090
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-622-2000
Provider Business Practice Location Address Fax Number:
315-622-1257
Provider Enumeration Date:
04/01/2006