Registry details
Type
Organization
Primary specialty
General Practice
Enumerated
May 15, 2007
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2233 STATE ROUTE 86 | Saranac Lake, NY 12983-5644 | 518-891-4141 |
| MAILING | PO BOX 1380 ATTN: PROVIDER ENROLLMENT | Saranac Lake, NY 12983 | 518-897-4725 |
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