Provider First Line Business Practice Location Address:
360 PARRISH ST
Provider Second Line Business Practice Location Address:
SECOND FLOOR
Provider Business Practice Location Address City Name:
CANANDAIGUA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14424-1777
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-394-1960
Provider Business Practice Location Address Fax Number:
585-394-6302
Provider Enumeration Date:
06/14/2006