Provider First Line Business Practice Location Address:
ROUTE 36 SONYEA ROAD
Provider Second Line Business Practice Location Address:
STATE OF NEW YORK DEPT HEALTH
Provider Business Practice Location Address City Name:
SONYEA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14556-0049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-658-3710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2007