Provider First Line Business Practice Location Address:
8 NORTHAMPTON RD
Provider Second Line Business Practice Location Address:
CHILDREN'S MH CLINIC
Provider Business Practice Location Address City Name:
AMSTERDAM
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12010-3224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-843-7520
Provider Business Practice Location Address Fax Number:
518-843-7537
Provider Enumeration Date:
05/22/2008