Provider First Line Business Practice Location Address:
471 PENNSYLVANIA AVE
Provider Second Line Business Practice Location Address:
TLC/BOCES
Provider Business Practice Location Address City Name:
APALACHIN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13732-2501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-748-8261
Provider Business Practice Location Address Fax Number:
607-748-8262
Provider Enumeration Date:
12/03/2010