Provider First Line Business Practice Location Address:
39 LINDEN AVE.
Provider Second Line Business Practice Location Address:
(COOPERSTOWN CENTRAL SCHOOL)
Provider Business Practice Location Address City Name:
COOPERSTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13326
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-547-8181
Provider Business Practice Location Address Fax Number:
607-547-5100
Provider Enumeration Date:
05/11/2016