| Provider Type: | Other Service Providers |
| Provider Classification: | Specialist |
| Definition of Specialization: | |
| Address: |
2546 Balltown Rd Suite 100 Schenectady, NY 12309-1079 |
| Phone: | (518) 372-1344 |
| Fax: | (518) 372-9848 |
| Gender: | Male |
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