Provider First Line Business Practice Location Address:
100 WASHINGTON STREET
Provider Second Line Business Practice Location Address:
ELMIRA PSYCHIATRIC CENTER
Provider Business Practice Location Address City Name:
ELMIRA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-737-4841
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/29/2008