Provider First Line Business Practice Location Address:
SOUTH JUNIOR HIGH SCHOOL
Provider Second Line Business Practice Location Address:
33-63 MONUMENT STREET
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:
845-563-7023
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2007