Provider First Line Business Practice Location Address:
739 IRVING AVENUE
Provider Second Line Business Practice Location Address:
SUITE 450 CENTRAL NEW YORK SURGICAL PHYSICIANS PC
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-470-7364
Provider Business Practice Location Address Fax Number:
315-470-5859
Provider Enumeration Date:
05/13/2006