Provider First Line Business Practice Location Address:
61 STATE STREET
Provider Second Line Business Practice Location Address:
TRI-COUNTY FAMILY MEDICINE PROGRAM, INC.
Provider Business Practice Location Address City Name:
NUNDA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14517-0729
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-468-2528
Provider Business Practice Location Address Fax Number:
585-468-5424
Provider Enumeration Date:
05/28/2015