Provider First Line Business Practice Location Address:
156 ROUTE 59, SUITE C6
Provider Second Line Business Practice Location Address:
C/O HISTOPATHOLOGY SERVICES, LLC
Provider Business Practice Location Address City Name:
SUFFERN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-369-4200
Provider Business Practice Location Address Fax Number:
201-661-7297
Provider Enumeration Date:
08/06/2009