Provider First Line Business Practice Location Address:
PUTNAM HOSPITAL CENTER ATTN: BRIDGETTE SNELL
Provider Second Line Business Practice Location Address:
664 STONELIEGH AVENUE, PSYCHIATRY GME SUITE 301
Provider Business Practice Location Address City Name:
CARMEL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10512-2450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-790-1321
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2024