Provider First Line Business Practice Location Address:
1419 SALT SPRINGS RD
Provider Second Line Business Practice Location Address:
DEPT. OF PA STUDIES
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-445-4100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2025