Provider First Line Business Practice Location Address:
750 EAST ADAMS ST
Provider Second Line Business Practice Location Address:
PEDIATRIC CARE UNIT
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:
216-844-3641
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/08/2009