Provider First Line Business Practice Location Address:
1444 WESTERN AVENUE SUITE C
Provider Second Line Business Practice Location Address:
ST. PETER'S FAMILY MEDICINE
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-533-6710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/30/2012