Provider First Line Business Practice Location Address:
62 OLD MIDDLETOWN RD.
Provider Second Line Business Practice Location Address:
CLARKSTOWN CENTRAL SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
NEW CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-639-6300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/19/2012