Provider First Line Business Practice Location Address:
159 MARGARET ST.
Provider Second Line Business Practice Location Address:
SUITE 375
Provider Business Practice Location Address City Name:
PLATTSBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12901-1785
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-324-4747
Provider Business Practice Location Address Fax Number:
518-324-4747
Provider Enumeration Date:
11/06/2006