Provider First Line Business Practice Location Address:
30 BANK STREET
Provider Second Line Business Practice Location Address:
SUITE 4 BATAVIA FAMILY CARE CENTER
Provider Business Practice Location Address City Name:
BATAVIA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-344-4800
Provider Business Practice Location Address Fax Number:
585-345-0461
Provider Enumeration Date:
09/02/2006