Provider First Line Business Practice Location Address:
400 FORT HILL AVE (GEC-400)
Provider Second Line Business Practice Location Address:
VETERANS ADMINSITRATION MEDICAL CENTER
Provider Business Practice Location Address City Name:
CANANDAIGUA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-393-7500
Provider Business Practice Location Address Fax Number:
585-393-8334
Provider Enumeration Date:
06/30/2006