Provider First Line Business Practice Location Address:
145 HUGUENOT ST
Provider Second Line Business Practice Location Address:
WESTCHESTER CO. DEPT OF HEALTH
Provider Business Practice Location Address City Name:
NEW ROCHELLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10801-5200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-813-5227
Provider Business Practice Location Address Fax Number:
914-813-5230
Provider Enumeration Date:
06/27/2007