Provider First Line Business Practice Location Address:
ONE WEST AVENUE
Provider Second Line Business Practice Location Address:
SUITE 230 NAVAL BRANCH CLINIC
Provider Business Practice Location Address City Name:
SARATOGA SPRINGS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12866
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-694-2377
Provider Business Practice Location Address Fax Number:
860-694-2590
Provider Enumeration Date:
01/04/2006