Provider First Line Business Practice Location Address:
330 FORD ST
Provider Second Line Business Practice Location Address:
CITY HALL
Provider Business Practice Location Address City Name:
OGDENSBURG
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13669-1626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-393-2390
Provider Business Practice Location Address Fax Number:
315-393-9771
Provider Enumeration Date:
11/06/2008