Provider First Line Business Practice Location Address:
7879 OSWEGO RD RTE 57
Provider Second Line Business Practice Location Address:
EMPIRE VISION CENTERS
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:
05/03/2006