Provider First Line Business Practice Location Address:
400 FOREST AVENUE
Provider Second Line Business Practice Location Address:
BUFFALO PSYCHIATRIC CENTER
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-816-2932
Provider Business Practice Location Address Fax Number:
716-816-2550
Provider Enumeration Date:
04/05/2010