Provider First Line Business Practice Location Address:
UNIVERSITY AT ALBANY HEALTH CTR
Provider Second Line Business Practice Location Address:
1400 WASHINGTON AVENUE
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12222-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-442-5454
Provider Business Practice Location Address Fax Number:
518-442-5444
Provider Enumeration Date:
02/16/2007