Provider First Line Business Practice Location Address:
WINGATE AT ULSTER
Provider Second Line Business Practice Location Address:
ONE WINGATE WAY
Provider Business Practice Location Address City Name:
HIGHLAND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12528
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-691-6800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2018