Provider First Line Business Practice Location Address:
1 HAWK DR
Provider Second Line Business Practice Location Address:
SUITE #9, STUDENT HEALTH SERVICE
Provider Business Practice Location Address City Name:
NEW PALTZ
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12561-2447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-257-3400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/19/2007