Provider First Line Business Practice Location Address:
40 ARCH ST
Provider Second Line Business Practice Location Address:
DIABETES EDUCATION AND MANAGEMENT CENTER
Provider Business Practice Location Address City Name:
JOHNSON CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13790
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-763-6092
Provider Business Practice Location Address Fax Number:
607-763-6677
Provider Enumeration Date:
05/13/2006