Provider First Line Business Practice Location Address:
715 EAST ADAMS STREET
Provider Second Line Business Practice Location Address:
SUNY UPSTATE MEDICAL UNIVERSITY
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:
315-464-2302
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2014