Provider First Line Business Practice Location Address:
3360 ROUTE 343
Provider Second Line Business Practice Location Address:
HUDSON RIVER HEALTHCARE, INC.
Provider Business Practice Location Address City Name:
AMENIA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12501-5619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-838-7038
Provider Business Practice Location Address Fax Number:
845-373-7021
Provider Enumeration Date:
01/14/2010