Provider First Line Business Practice Location Address:
953 DANBY ROAD
Provider Second Line Business Practice Location Address:
HAMMOND HEALTH CENTER - ITHACA COLLEGE
Provider Business Practice Location Address City Name:
ITHACA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-274-3177
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2006