Provider First Line Business Practice Location Address:
2834 RT. 17M
Provider Second Line Business Practice Location Address:
MID-HUDSON FORENSIC PSYCHIATRIC CENTER,
Provider Business Practice Location Address City Name:
NEW HAMPTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10958-0158
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-283-3847
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2006