Provider First Line Business Practice Location Address:
160 HIGH ROCK AVE
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:
12866-2437
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-321-4573
Provider Business Practice Location Address Fax Number:
518-841-3819
Provider Enumeration Date:
06/02/2006