Provider First Line Business Practice Location Address:
16 DEGRANDPRE WAY STE 600
Provider Second Line Business Practice Location Address:
DEPARTMENT OF RADIOLOGY (1329)
Provider Business Practice Location Address City Name:
PLATTSBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12901-6454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-563-0490
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/14/2006