Provider First Line Business Practice Location Address:
2022 WESTERN AVE
Provider Second Line Business Practice Location Address:
GUILDERLAND FAMILY PRACTICE
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-464-9000
Provider Business Practice Location Address Fax Number:
518-464-9200
Provider Enumeration Date:
03/16/2006