Provider First Line Business Practice Location Address:
70 DUBOIS STREET
Provider Second Line Business Practice Location Address:
ST LUKE'S CORNWALL HOSPITAL
Provider Business Practice Location Address City Name:
NEWBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12550-4825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-568-2827
Provider Business Practice Location Address Fax Number:
845-568-2851
Provider Enumeration Date:
11/20/2006