Provider First Line Business Practice Location Address:
309 COUNTY ROUTE 47 STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SARANAC LAKE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-897-2726
Provider Business Practice Location Address Fax Number:
518-897-2897
Provider Enumeration Date:
01/13/2009