Provider First Line Business Practice Location Address:
280 CENTRAL AVE
Provider Second Line Business Practice Location Address:
SUNY AT FREDONIA, LOGRASSO HALL HEALTH CENTER
Provider Business Practice Location Address City Name:
FREDONIA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14063-1127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-673-3131
Provider Business Practice Location Address Fax Number:
716-673-4722
Provider Enumeration Date:
02/22/2007