Provider First Line Business Practice Location Address:
3495 BAILEY AVE
Provider Second Line Business Practice Location Address:
PRIMARY CARE GROUP 2
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14215-1129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-862-8881
Provider Business Practice Location Address Fax Number:
716-862-7812
Provider Enumeration Date:
07/27/2006