Provider First Line Business Practice Location Address: 
PLATTSBURGH MEDICAL CARE
    Provider Second Line Business Practice Location Address: 
675 STATE RTE 3 #1
    Provider Business Practice Location Address City Name: 
PLATTSBURGH
    Provider Business Practice Location Address State Name: 
NY
    Provider Business Practice Location Address Postal Code: 
12901-1290
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
518-566-0672
    Provider Business Practice Location Address Fax Number: 
518-324-2210
    Provider Enumeration Date: 
08/31/2022