Provider First Line Business Practice Location Address:
480 HARRISON AVENUE
Provider Second Line Business Practice Location Address:
HARRISON AVENUE SCHOOL
Provider Business Practice Location Address City Name:
HARRISON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10528
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-630-3213
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/30/2011