Provider First Line Business Practice Location Address:
70 DUBOIS STREET
Provider Second Line Business Practice Location Address:
MONTEFIORE ST. LUKES CORNWALL
Provider Business Practice Location Address City Name:
NEWBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12553
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-599-0449
Provider Business Practice Location Address Fax Number:
845-568-2614
Provider Enumeration Date:
04/26/2023