Provider First Line Business Practice Location Address:
454 GLEN ST
Provider Second Line Business Practice Location Address:
ALBANY MED FACULTY PHYSICIANS NEUROSURGERY
Provider Business Practice Location Address City Name:
GLENS FALLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12801-2974
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-264-0880
Provider Business Practice Location Address Fax Number:
518-264-0885
Provider Enumeration Date:
10/26/2005