Provider First Line Business Practice Location Address:
71 PROSPECT AVE
Provider Second Line Business Practice Location Address:
COLUMBIA MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
HUDSON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12534-2907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-454-4700
Provider Business Practice Location Address Fax Number:
845-454-4982
Provider Enumeration Date:
03/06/2007