Provider First Line Business Practice Location Address:
1733 RT 9
Provider Second Line Business Practice Location Address:
A PEACEFUL PLACE WELLNESS CTR
Provider Business Practice Location Address City Name:
CLIFTON PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-371-2225
Provider Business Practice Location Address Fax Number:
518-371-2583
Provider Enumeration Date:
11/05/2008