Provider First Line Business Practice Location Address:
134 HOMER AVE
Provider Second Line Business Practice Location Address:
CORTLAND REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
CORTLAND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13045-0960
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-782-2620
Provider Business Practice Location Address Fax Number:
315-788-4980
Provider Enumeration Date:
03/21/2006