Provider First Line Business Practice Location Address:
COPENHAGEN HEALTH CENTER
Provider Second Line Business Practice Location Address:
9732 STATE ROUTE 12
Provider Business Practice Location Address City Name:
COPENHAGEN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13626-1362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-688-2305
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/07/2020