Provider First Line Business Practice Location Address:
725 HARRISON ST
Provider Second Line Business Practice Location Address:
HEALTH SERVICES
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13210-2395
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-435-4145
Provider Business Practice Location Address Fax Number:
315-435-4859
Provider Enumeration Date:
11/15/2011