Provider First Line Business Practice Location Address:
39 N PLANK RD
Provider Second Line Business Practice Location Address:
MID VALLEY MALL
Provider Business Practice Location Address City Name:
NEWBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12550-2118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-565-3010
Provider Business Practice Location Address Fax Number:
845-562-6209
Provider Enumeration Date:
08/17/2006