Provider First Line Business Practice Location Address:
LOURDES ENDICOTT PRIMARY CARE
Provider Second Line Business Practice Location Address:
415 E. MAIN ST
Provider Business Practice Location Address City Name:
ENDICOTT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13760
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-785-2460
Provider Business Practice Location Address Fax Number:
607-785-2584
Provider Enumeration Date:
04/22/2016