Provider First Line Business Practice Location Address:
420 NORTH AVE STE 2
Provider Second Line Business Practice Location Address:
ROCKLAND PSYCHIATRIC CENTER, NEW ROCHELLE MHSC
Provider Business Practice Location Address City Name:
NEW ROCHELLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10801-4161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-633-8842
Provider Business Practice Location Address Fax Number:
914-633-8947
Provider Enumeration Date:
07/02/2012