Provider First Line Business Practice Location Address:
178 GRANDVIEW DR
Provider Second Line Business Practice Location Address:
BASSETT HOSPITAL OF SCHOHARIE COUNTY
Provider Business Practice Location Address City Name:
COBLESKILL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12043-5144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-254-3403
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2007