Provider First Line Business Practice Location Address:
3 CENTER ST
Provider Second Line Business Practice Location Address:
SPENCER VAN ETTEN MIDDLE SCHOOL
Provider Business Practice Location Address City Name:
SPENCER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14883
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-589-7128
Provider Business Practice Location Address Fax Number:
607-589-3003
Provider Enumeration Date:
11/19/2011