Provider First Line Business Mailing Address:
1445 PORTLAND AVENUE, PARNALL OFFICE BLDG.
Provider Second Line Business Mailing Address:
SUITE # 309
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14625-3008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-342-2638
Provider Business Mailing Address Fax Number:
585-730-7500