Provider First Line Business Practice Location Address:
76 W HUMBOLDT PKWY
Provider Second Line Business Practice Location Address:
MSGR. CARR INSTITUTE
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14214-2605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-835-9745
Provider Business Practice Location Address Fax Number:
716-835-6785
Provider Enumeration Date:
11/03/2006