Provider First Line Business Practice Location Address:
3980 DUTCH HOLLOW RD.
Provider Second Line Business Practice Location Address:
BEMUS POINT CENTRAL SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
BEMUS POINT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14712-3980
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-386-4932
Provider Business Practice Location Address Fax Number:
716-386-2376
Provider Enumeration Date:
10/14/2010