Provider First Line Business Practice Location Address:
150 PLEASANT AVE
Provider Second Line Business Practice Location Address:
UNION PLEASANT ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
HAMBURG
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14075-4828
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-646-3280
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/03/2006