Provider First Line Business Practice Location Address:
1 FRONT ST
Provider Second Line Business Practice Location Address:
NEENA RAO MEDICAL CENTER
Provider Business Practice Location Address City Name:
AMSTERDAM
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-843-4414
Provider Business Practice Location Address Fax Number:
518-843-4415
Provider Enumeration Date:
10/13/2006