Provider First Line Business Practice Location Address:
3174 ROUTE 22
Provider Second Line Business Practice Location Address:
HUDSON RIVER HEALTHCARE, INC.
Provider Business Practice Location Address City Name:
DOVER PLAINS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12522-5924
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-877-4793
Provider Business Practice Location Address Fax Number:
845-877-9212
Provider Enumeration Date:
09/29/2006