Provider First Line Business Practice Location Address:
1676 SUNSET AVE
Provider Second Line Business Practice Location Address:
FAXTON ST. LUKE'S HEALTHCARE
Provider Business Practice Location Address City Name:
UTICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13502-5475
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-624-5455
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2009