Provider First Line Business Practice Location Address:
4205 LONG BRANCH RD.
Provider Second Line Business Practice Location Address:
CLAY CHIROPRACTIC/ATHLONMT/STE.3
Provider Business Practice Location Address City Name:
LIVERPOOL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13090
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-956-1418
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/13/2018