Provider First Line Business Practice Location Address:
5 LATOUR AVE
Provider Second Line Business Practice Location Address:
#100
Provider Business Practice Location Address City Name:
PLATTSBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12901-7280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-324-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/28/2016