Provider First Line Business Practice Location Address:
40 FRANKLIN ST
Provider Second Line Business Practice Location Address:
SUITE 1 FAMILY PRACTICE ASSOCIATES PC
Provider Business Practice Location Address City Name:
CARTHAGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13619-1323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-493-7334
Provider Business Practice Location Address Fax Number:
315-493-4232
Provider Enumeration Date:
11/15/2006