Provider First Line Business Practice Location Address:
DEPT. OF MEDICINE MEDICAL SERVICE GROUP
Provider Second Line Business Practice Location Address:
750 E. ADAMS ST.
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-464-9931
Provider Business Practice Location Address Fax Number:
315-464-3235
Provider Enumeration Date:
04/25/2007