Provider First Line Business Practice Location Address:
GOLISANO CHILDRENS HOSPITAL 601 ELMWOOD AVE
Provider Second Line Business Practice Location Address:
BOX 777
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14642-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-275-1539
Provider Business Practice Location Address Fax Number:
585-244-6097
Provider Enumeration Date:
05/27/2008