Provider First Line Business Practice Location Address:
3839 DANBURY RD
Provider Second Line Business Practice Location Address:
NORTHEAST RADIOLOGY
Provider Business Practice Location Address City Name:
BREWSTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10509-5412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-278-6200
Provider Business Practice Location Address Fax Number:
845-278-1613
Provider Enumeration Date:
11/21/2005