Provider First Line Business Practice Location Address:
3 MAIN STREET
Provider Second Line Business Practice Location Address:
SECOND FLOOR
Provider Business Practice Location Address City Name:
SARANAC LAKE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12983-7337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-891-2280
Provider Business Practice Location Address Fax Number:
518-891-2080
Provider Enumeration Date:
01/22/2007