Provider First Line Business Practice Location Address:
1009 CENTRAL AVE
Provider Second Line Business Practice Location Address:
EMPIRE VISION CENTERS
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-489-8575
Provider Business Practice Location Address Fax Number:
518-489-8578
Provider Enumeration Date:
05/31/2006