Provider First Line Business Practice Location Address:
ONE WEST AVE
Provider Second Line Business Practice Location Address:
STE 230 NAVAL BRANCH CLINIC
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-583-5300
Provider Business Practice Location Address Fax Number:
518-583-7990
Provider Enumeration Date:
01/04/2006