Provider First Line Business Practice Location Address:
1150 NOTT ST
Provider Second Line Business Practice Location Address:
NOTT STREET MEDICAL PLLC
Provider Business Practice Location Address City Name:
SCHENECTADY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12308-2426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-374-1655
Provider Business Practice Location Address Fax Number:
518-374-1657
Provider Enumeration Date:
11/16/2005