Provider First Line Business Practice Location Address:
22 NEW SCOTLAND ROAD
Provider Second Line Business Practice Location Address:
PEDIATRIC INFECTIOUS DISEASES, MC 88
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12208-3555
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-262-5332
Provider Business Practice Location Address Fax Number:
518-262-5301
Provider Enumeration Date:
05/25/2007