Provider First Line Business Practice Location Address:
144 GENESEE ST
Provider Second Line Business Practice Location Address:
METCALF PLAZA
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13021-3503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-282-7364
Provider Business Practice Location Address Fax Number:
315-282-7567
Provider Enumeration Date:
06/27/2008