Provider First Line Business Practice Location Address:
840 HANSHAW RD
Provider Second Line Business Practice Location Address:
ASTHMA AND ALLERGY ASSOCIATES, P.C.
Provider Business Practice Location Address City Name:
ITHACA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14850-1589
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-257-6563
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/28/2006