Provider First Line Business Practice Location Address:
82 MARGARET ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLATTSBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
514-488-5553
Provider Business Practice Location Address Fax Number:
514-807-5380
Provider Enumeration Date:
11/08/2010