Provider First Line Business Practice Location Address:
319 MINSI RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST STROUDSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18302-9393
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-236-6251
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2021