Provider First Line Business Practice Location Address:
405 PENNSYLVANIA AVE
Provider Second Line Business Practice Location Address:
APALACHIN ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
APALACHIN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13732-2411
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-687-6289
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2011