Provider First Line Business Practice Location Address:
2 PARK AVE
Provider Second Line Business Practice Location Address:
SMITHERS ADDICTION CENTER
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10703-3402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-964-7814
Provider Business Practice Location Address Fax Number:
914-964-7840
Provider Enumeration Date:
10/16/2011