Provider First Line Business Practice Location Address:
223 WISNER AVE
Provider Second Line Business Practice Location Address:
SPECIAL SERVICES
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10940-3238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-326-1557
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/28/2011