Provider First Line Business Practice Location Address:
2072 CURRY RD
Provider Second Line Business Practice Location Address:
MOHONASEN HIGH SCHOOL
Provider Business Practice Location Address City Name:
SCHENECTADY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12303-4400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-356-8343
Provider Business Practice Location Address Fax Number:
518-356-8309
Provider Enumeration Date:
06/22/2010