Provider First Line Business Practice Location Address:
3435 MAIN ST
Provider Second Line Business Practice Location Address:
BLDG 4 DEPARTMENT OF ORTHOPAEDICS HAYES A,
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14214-3014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-898-5053
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/08/2008