Provider First Line Business Practice Location Address:
75 COURT STREET
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-563-0540
Provider Business Practice Location Address Fax Number:
518-563-3496
Provider Enumeration Date:
02/26/2007