Provider First Line Business Practice Location Address:
60 JEFFERSON ST STE 3
Provider Second Line Business Practice Location Address:
HUDSON RIVER HEALTHCARE, INC.
Provider Business Practice Location Address City Name:
MONTICELLO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12701-1131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-794-2010
Provider Business Practice Location Address Fax Number:
845-794-4569
Provider Enumeration Date:
09/29/2006