Provider First Line Business Practice Location Address:
73 COUNTY HIGHWAY 108
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10940-6948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-342-2400
Provider Business Practice Location Address Fax Number:
845-343-9665
Provider Enumeration Date:
12/31/2007