Provider First Line Business Practice Location Address:
DEPARTMENT OF VETERANS AFFAIRS
Provider Second Line Business Practice Location Address:
800 IRVING AVE
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13210-4122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-421-2185
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/20/2010