Provider First Line Business Practice Location Address:
CORNING TOWER 14TH FLOOR NYS OHIP
Provider Second Line Business Practice Location Address:
EMPIRE STATE PLAZA
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12237-0044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-474-3018
Provider Business Practice Location Address Fax Number:
518-486-6852
Provider Enumeration Date:
01/08/2008