Provider First Line Business Practice Location Address:
120 MAPLE AVENUE
Provider Second Line Business Practice Location Address:
ALLEGANY - LIMESTONE ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
ALLEGANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-375-6600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/05/2015