Provider First Line Business Practice Location Address:
601 ELMWOOD AVE BOX MIND
Provider Second Line Business Practice Location Address:
UNIVERSITY OF ROCHESTER MEDICAL CTR
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14642-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-784-9277
Provider Business Practice Location Address Fax Number:
585-424-7289
Provider Enumeration Date:
03/26/2012