Provider First Line Business Practice Location Address:
80 STATE HIGHWAY 310 SUITE 2
Provider Second Line Business Practice Location Address:
ST.LAWRENCE COUNTY PUBLIC HEALTH DEPT.
Provider Business Practice Location Address City Name:
CANTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13617-9910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-386-2325
Provider Business Practice Location Address Fax Number:
315-386-2781
Provider Enumeration Date:
01/27/2009