Provider First Line Business Practice Location Address:
GOUVERNEUR HOSPITAL
Provider Second Line Business Practice Location Address:
77 WEST BARNEY STREET
Provider Business Practice Location Address City Name:
GOUVERNEUR
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13642-1040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-287-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/29/2019