Provider First Line Business Practice Location Address:
115 ROCHESTER STREET
Provider Second Line Business Practice Location Address:
EMPIRE VISION CENTERS
Provider Business Practice Location Address City Name:
FULTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13069
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-598-8505
Provider Business Practice Location Address Fax Number:
315-598-1166
Provider Enumeration Date:
03/29/2006