Provider First Line Business Practice Location Address:
CLAYTON AVENUE ELEMENTARY SCHOOL
Provider Second Line Business Practice Location Address:
209 CLAYTON AVENUE
Provider Business Practice Location Address City Name:
VESTAL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-757-2274
Provider Business Practice Location Address Fax Number:
607-757-2372
Provider Enumeration Date:
06/24/2019