Provider First Line Business Practice Location Address:
441 W KIRKPATRICK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13204-1305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-472-4201
Provider Business Practice Location Address Fax Number:
315-472-4202
Provider Enumeration Date:
03/03/2014