Provider First Line Business Practice Location Address:
39 BRIGGS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14611-2801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-309-8274
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/23/2008