Provider First Line Business Practice Location Address:
2 EMPIRE DRIVE SUITE 100
Provider Second Line Business Practice Location Address:
CAPITAL REGION FAMILY HEALTH CARE
Provider Business Practice Location Address City Name:
RENSSELAER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12144-5730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-286-4899
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/22/2021