Provider First Line Business Practice Location Address:
800 IRVING AVE
Provider Second Line Business Practice Location Address:
ATTN: PM&R-PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13210-2716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-424-4400
Provider Business Practice Location Address Fax Number:
315-425-2685
Provider Enumeration Date:
08/07/2015