Provider First Line Business Practice Location Address:
7209 BUCKLEY RD SUITE 2X
Provider Second Line Business Practice Location Address:
NORTH MEDICAL CENTER
Provider Business Practice Location Address City Name:
LIVERPOOL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13088
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-452-2070
Provider Business Practice Location Address Fax Number:
315-452-2074
Provider Enumeration Date:
09/25/2006