Provider First Line Business Practice Location Address:
450 MARGARET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLATTSBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12901-1755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-566-2020
Provider Business Practice Location Address Fax Number:
518-561-5390
Provider Enumeration Date:
10/05/2006