Provider First Line Business Practice Location Address:
CVPH RENAL CENTER
Provider Second Line Business Practice Location Address:
91 PLAZA BLVD
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:
518-561-5334
Provider Business Practice Location Address Fax Number:
518-561-7470
Provider Enumeration Date:
03/12/2007