Provider First Line Business Practice Location Address:
1000 E GENESEE ST
Provider Second Line Business Practice Location Address:
HILL MEDICAL CENTER SUITE# 202
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13210-1892
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-314-7834
Provider Business Practice Location Address Fax Number:
315-299-7473
Provider Enumeration Date:
09/06/2012