Provider First Line Business Practice Location Address:
59 MYRTLE ST
Provider Second Line Business Practice Location Address:
MYRTLE ST OB/GYN
Provider Business Practice Location Address City Name:
SARATOGA SPRINGS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12866-1027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-587-2400
Provider Business Practice Location Address Fax Number:
518-581-0141
Provider Enumeration Date:
10/29/2014