Provider First Line Business Practice Location Address:
4327 ALBANY POST RD
Provider Second Line Business Practice Location Address:
HYDE PARK ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
HYDE PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12538-3600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-229-4050
Provider Business Practice Location Address Fax Number:
845-229-2933
Provider Enumeration Date:
12/12/2011