Provider First Line Business Practice Location Address:
800 IRVING
Provider Second Line Business Practice Location Address:
VA HEALTHCARE NETWORK UPSTATE NY AT SYRACUSE
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:
315-425-4400
Provider Business Practice Location Address Fax Number:
315-425-4867
Provider Enumeration Date:
07/09/2006