Provider First Line Business Practice Location Address:
11 PILCH STREET
Provider Second Line Business Practice Location Address:
HUDSON RIVER HEALTHCARE, INC.
Provider Business Practice Location Address City Name:
PINE PLAINS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12567-5657
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-398-1100
Provider Business Practice Location Address Fax Number:
518-398-7108
Provider Enumeration Date:
08/14/2006