Provider First Line Business Practice Location Address:
84 NIGHTENGALE AVENUE
Provider Second Line Business Practice Location Address:
MASSENA CENTRAL SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
MASSENA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13662-1998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-764-3700
Provider Business Practice Location Address Fax Number:
315-764-3701
Provider Enumeration Date:
01/03/2007