Provider First Line Business Practice Location Address:
95 GRASSLANDS ROAD
Provider Second Line Business Practice Location Address:
UNIVERSITY IMAGING AND MEDICAL ASSC. PC
Provider Business Practice Location Address City Name:
VALHALLA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10595
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-493-8881
Provider Business Practice Location Address Fax Number:
914-493-1195
Provider Enumeration Date:
06/29/2006