Provider First Line Business Practice Location Address:
219 BRYNT ST
Provider Second Line Business Practice Location Address:
WOMAN & CHILDREN HOSP OF BUFFALO
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-878-7777
Provider Business Practice Location Address Fax Number:
716-888-3802
Provider Enumeration Date:
03/11/2014