Provider First Line Business Practice Location Address:
5180 NORTH CATHERINE STREET
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:
12901-2853
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-277-6565
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/04/2006