Provider First Line Business Practice Location Address:
90 PRESIDENTIAL PLAZA, UHCC, 3RD FLOOR
Provider Second Line Business Practice Location Address:
REGIONAL PERINATAL CENTER, SUNY UPSTATE MEDICAL CENTER
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-464-4458
Provider Business Practice Location Address Fax Number:
315-464-6388
Provider Enumeration Date:
09/10/2012