Provider First Line Business Practice Location Address:
2 COULTER ROAD
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
CLIFTON SPRINGS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-462-1451
Provider Business Practice Location Address Fax Number:
315-462-2430
Provider Enumeration Date:
07/31/2006