Provider First Line Business Practice Location Address:
30 MAJOR MACDONALD WAY
Provider Second Line Business Practice Location Address:
WAPPINGERS JUNIOR HIGH SCHOOL
Provider Business Practice Location Address City Name:
WAPPINGERS FALLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12590-3748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-298-5200
Provider Business Practice Location Address Fax Number:
245-298-5156
Provider Enumeration Date:
10/27/2011