Provider First Line Business Practice Location Address:
BUREAU OF IMMUNIZATION NEW YORK STATE DEPT OFHEALTH
Provider Second Line Business Practice Location Address:
EMPIRE STATE PLAZA, CORNING TOWER, ROOM 649
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12237-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-473-4437
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/30/2009