Provider First Line Business Practice Location Address:
201 WATERSIDE PROFESSIONAL PARK
Provider Second Line Business Practice Location Address:
NYU LANGONE INTERNAL MEDICINE AT HUDSON VALLEY
Provider Business Practice Location Address City Name:
PUTNAM VALLEY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10579
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-528-8808
Provider Business Practice Location Address Fax Number:
914-528-7218
Provider Enumeration Date:
02/24/2006