Provider First Line Business Practice Location Address:
43 DURKEE ST STE 600C
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:
12901-2953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-324-5000
Provider Business Practice Location Address Fax Number:
518-324-5500
Provider Enumeration Date:
09/08/2006