Provider First Line Business Practice Location Address:
253 ALEXANDER ST
Provider Second Line Business Practice Location Address:
NORMANDIE CARRIAGE HOUSE
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14607-2549
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-251-7489
Provider Business Practice Location Address Fax Number:
585-381-0684
Provider Enumeration Date:
04/10/2006