Provider First Line Business Practice Location Address:
200 CHURCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SARATOGA SPRINGS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12866-1010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-584-6768
Provider Business Practice Location Address Fax Number:
518-584-6855
Provider Enumeration Date:
11/06/2006