Provider First Line Business Practice Location Address:
301 PROSPECT AVE.
Provider Second Line Business Practice Location Address:
ANESTHESIA GROUP OF ONONDAGA PC
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-229-5451
Provider Business Practice Location Address Fax Number:
315-229-4710
Provider Enumeration Date:
11/09/2012