Provider First Line Business Practice Location Address:
172 ALEXANDER STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-423-9580
Provider Business Practice Location Address Fax Number:
585-423-9488
Provider Enumeration Date:
10/03/2006