Provider First Line Business Practice Location Address:
PILGRIM STATE PSYCHIATRIC CENTER
Provider Second Line Business Practice Location Address:
998CROOKED HIL RD
Provider Business Practice Location Address City Name:
BRENTWOOD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-761-2286
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/06/2018