Provider First Line Business Practice Location Address:
33 DURKEE 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:
12901-0268
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-324-1700
Provider Business Practice Location Address Fax Number:
518-324-1710
Provider Enumeration Date:
01/17/2007