Provider First Line Business Practice Location Address:
445 SAINT PAUL ST
Provider Second Line Business Practice Location Address:
MEDICAL, HIGH FALLS BREWING CO
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14605-1775
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-263-9224
Provider Business Practice Location Address Fax Number:
585-454-1878
Provider Enumeration Date:
07/08/2008