Provider First Line Business Practice Location Address: 
RT. 9W
    Provider Second Line Business Practice Location Address: 
HELEN HAYES HOSPITAL
    Provider Business Practice Location Address City Name: 
W. HAVERSTRAW
    Provider Business Practice Location Address State Name: 
NY
    Provider Business Practice Location Address Postal Code: 
10993
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
845-786-4459
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
10/05/2006