Provider First Line Business Practice Location Address:
560 TROY SCHENECTADY RD
Provider Second Line Business Practice Location Address:
EMPIRE VISION CENTERS
Provider Business Practice Location Address City Name:
LATHAM
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-783-0090
Provider Business Practice Location Address Fax Number:
518-783-8490
Provider Enumeration Date:
03/31/2006