Provider First Line Business Practice Location Address:
PINE STREET FAMILY HEALTH CENTER
Provider Second Line Business Practice Location Address:
140 PINE STREET
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12401-4948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
844-434-2778
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/27/2023