Provider First Line Business Practice Location Address:
38 W. CHURCH STREET
Provider Second Line Business Practice Location Address:
FAIRPORT CENTRAL SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
FAIRPORT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-421-2038
Provider Business Practice Location Address Fax Number:
585-421-8114
Provider Enumeration Date:
01/23/2007