Provider First Line Business Practice Location Address:
24 4TH ST
Provider Second Line Business Practice Location Address:
NORTH COUNTRY HEALTHCARE
Provider Business Practice Location Address City Name:
MALONE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12953-1329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-481-6044
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2006