Provider First Line Business Practice Location Address:
15 PEARL ST. E
Provider Second Line Business Practice Location Address:
ELEMENTARY SCHOOL HEALTH OFFICE
Provider Business Practice Location Address City Name:
SIDNEY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-561-7705
Provider Business Practice Location Address Fax Number:
607-563-9257
Provider Enumeration Date:
01/02/2014