Provider First Line Business Practice Location Address:
1 WEST AVENUE SUITE 125
Provider Second Line Business Practice Location Address:
SPORTS PT OF NY PC
Provider Business Practice Location Address City Name:
SARATOGA SPRINGS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12866
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-583-7537
Provider Business Practice Location Address Fax Number:
518-583-7606
Provider Enumeration Date:
09/20/2006