Provider First Line Business Practice Location Address:
249 BROADWAY
Provider Second Line Business Practice Location Address:
ORANGE AHRC
Provider Business Practice Location Address City Name:
NEWBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-564-1855
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2012