Provider First Line Business Practice Location Address:
700 MCCLELLAN STREET
Provider Second Line Business Practice Location Address:
ST. CLARE'S MEDICAL ARTS BUILDING
Provider Business Practice Location Address City Name:
SCHENECTADY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-382-1130
Provider Business Practice Location Address Fax Number:
518-382-1173
Provider Enumeration Date:
01/14/2008