Provider First Line Business Practice Location Address:
369 NEW SCOTLAND AVE
Provider Second Line Business Practice Location Address:
NEW SCOTLAND ELEM SCHOOL
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12208-2736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-475-6780
Provider Business Practice Location Address Fax Number:
518-475-6781
Provider Enumeration Date:
03/16/2017