Provider First Line Business Practice Location Address:
185 E SENECA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OSWEGO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13126-1600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-500-7255
Provider Business Practice Location Address Fax Number:
315-726-3448
Provider Enumeration Date:
06/05/2014