Provider First Line Business Practice Location Address:
LIVERPOOL HIGH SCHOOL
Provider Second Line Business Practice Location Address:
4338 WETZEL ROAD
Provider Business Practice Location Address City Name:
LIVERPOOL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13090
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-453-1500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2022