Provider First Line Business Practice Location Address:
WALLKILL CORRECTIONAL FACILITY ROUTE 208
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALLKILL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12589-0286
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-895-2021
Provider Business Practice Location Address Fax Number:
845-895-1886
Provider Enumeration Date:
02/13/2015