Provider First Line Business Practice Location Address:
ALICE HYDE HOSPITAL
Provider Second Line Business Practice Location Address:
133 PARK ST
Provider Business Practice Location Address City Name:
MALONE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-782-2620
Provider Business Practice Location Address Fax Number:
315-788-4980
Provider Enumeration Date:
03/21/2006