Provider First Line Business Practice Location Address:
75 ORANGE AVE
Provider Second Line Business Practice Location Address:
HUDSON RIVER HEALTHCARE, INC.
Provider Business Practice Location Address City Name:
WALDEN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12586-1816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-778-2700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/12/2008