Provider First Line Business Practice Location Address:
70 DUBOIS STREET
Provider Second Line Business Practice Location Address:
ST LUKES CORNWALL HOSPITAL
Provider Business Practice Location Address City Name:
NEWBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-458-4927
Provider Business Practice Location Address Fax Number:
845-458-4970
Provider Enumeration Date:
08/22/2006