Provider First Line Business Practice Location Address:
27 LAMPLIGHTER LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SARATOGA SPRINGS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12866-8834
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-248-1121
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2026