Provider First Line Business Practice Location Address:
10 HEALTHY WAY
Provider Second Line Business Practice Location Address:
ELLENVILLE REGIONAL HOSPITAL- RADIOLOGY DEPT
Provider Business Practice Location Address City Name:
ELLENVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12428
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-647-6400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/16/2009