Provider First Line Business Practice Location Address:
195 BLACKBERRY RD
Provider Second Line Business Practice Location Address:
LIVERPOOL CENTRAL SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
LIVERPOOL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13090-3047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-622-7180
Provider Business Practice Location Address Fax Number:
315-622-7144
Provider Enumeration Date:
07/24/2014