Provider First Line Business Practice Location Address:
463 HAWTHORNE AVE
Provider Second Line Business Practice Location Address:
LEAKE AND WATTS SERVICES, INC
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10705-3441
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-375-8756
Provider Business Practice Location Address Fax Number:
914-375-8901
Provider Enumeration Date:
03/17/2006