Provider First Line Business Practice Location Address:
685 CUMBERLAND HEAD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLATTSBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12901-6808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-691-0542
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/14/2026