Provider First Line Business Practice Location Address:
34 LIVINGSTON ST
Provider Second Line Business Practice Location Address:
HUDSON RIVER HEALTHCARE, INC.
Provider Business Practice Location Address City Name:
POUGHKEEPSIE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12601-4713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-483-6099
Provider Business Practice Location Address Fax Number:
845-431-5662
Provider Enumeration Date:
12/27/2005