Provider First Line Business Practice Location Address:
8112 CAZENOVIA RD
Provider Second Line Business Practice Location Address:
WEIGHT LOSS INSTITUTE OF CNY
Provider Business Practice Location Address City Name:
MANLIUS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13104-9780
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-682-1689
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/28/2008