Provider First Line Business Practice Location Address:
1151 ALBANY STREET
Provider Second Line Business Practice Location Address:
ALBANY ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
UTICA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-792-2150
Provider Business Practice Location Address Fax Number:
315-792-2151
Provider Enumeration Date:
11/12/2015