Provider First Line Business Practice Location Address:
30 PROSPECT AVE FL 1
Provider Second Line Business Practice Location Address:
EMERGENCY TREATMENT ASSOCIATES
Provider Business Practice Location Address City Name:
HUDSON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12534-2908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-751-1016
Provider Business Practice Location Address Fax Number:
518-751-1020
Provider Enumeration Date:
02/15/2008