Provider First Line Business Practice Location Address:
113 HOLLAND AVE
Provider Second Line Business Practice Location Address:
STRATTON VA MEDICAL CENTER MVAC-PRIMARY CARE
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12208-3410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-626-6560
Provider Business Practice Location Address Fax Number:
518-626-6563
Provider Enumeration Date:
07/05/2006