Provider First Line Business Practice Location Address:
62 BRINKERHOFF ST
Provider Second Line Business Practice Location Address:
STE. 203
Provider Business Practice Location Address City Name:
PLATTSBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12901-2949
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-314-0636
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/09/2009