Provider First Line Business Practice Location Address:
UPSTATE UNIVERSITY HOSPITAL COMMUNITY GENERAL CAMPUS
Provider Second Line Business Practice Location Address:
4900 BROAD ROAD
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-559-4764
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/08/2020