Provider First Line Business Practice Location Address:
70 DUBOIS STREET
Provider Second Line Business Practice Location Address:
MONTEFIORE ST. LUKES CORNWALL
Provider Business Practice Location Address City Name:
NEWBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-458-4883
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2023