Provider First Line Business Practice Location Address:
675 W WASHINGTON ST
Provider Second Line Business Practice Location Address:
INTERLAKES ONCOLOGY & HEMATOLOGY PC
Provider Business Practice Location Address City Name:
GENEVA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14456-2119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-475-8703
Provider Business Practice Location Address Fax Number:
585-475-9411
Provider Enumeration Date:
03/15/2006