Adirondack Radiology Associates, P.C. P.O. Box 985. 11 Murray Street. Glens Falls, NY 12801. ... First Name * M.I. Last Name * Patient Account Number * Dates of Service Provided -Phone Number * Email Address. 2. Payment Amount Amount. 3. Payment Method Credit/Debit Card Bank Account Name on Card * Card Number * Expiration Date * MM ....