Provider First Line Business Practice Location Address:
70 COURT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLATTSBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12901-2832
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-563-7777
Provider Business Practice Location Address Fax Number:
518-563-7770
Provider Enumeration Date:
09/23/2009