Provider First Line Business Practice Location Address:
2256 BURDETT AVE
Provider Second Line Business Practice Location Address:
EDDY MEMORIAL GERIATRIC CENTER
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12180-2400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-271-5927
Provider Business Practice Location Address Fax Number:
518-274-5407
Provider Enumeration Date:
05/10/2007