Provider First Line Business Practice Location Address:
100 PARK STREET
Provider Second Line Business Practice Location Address:
GLENS FALLS HOSPITA INTENSIVIST PROGRAM
Provider Business Practice Location Address City Name:
GLENS FALLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12801-4413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-926-6800
Provider Business Practice Location Address Fax Number:
518-926-6825
Provider Enumeration Date:
07/29/2010