Provider First Line Business Practice Location Address:
3 CARE LN STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SARATOGA SPRINGS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12866-8636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-290-1195
Provider Business Practice Location Address Fax Number:
518-480-2195
Provider Enumeration Date:
07/19/2006