Provider First Line Business Practice Location Address:
309 COUNTY ROUTE 47 STE 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SARANAC LAKE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12983-5426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-891-1610
Provider Business Practice Location Address Fax Number:
518-891-5726
Provider Enumeration Date:
02/26/2024