Provider First Line Business Practice Location Address:
800 IRVING AVENUE
Provider Second Line Business Practice Location Address:
SYRACUSE VA MEDICAL CENTER BVAC (116)
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13210-2716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-425-3443
Provider Business Practice Location Address Fax Number:
315-425-3447
Provider Enumeration Date:
10/05/2006