Provider First Line Business Practice Location Address:
601 ELMWOOD AVENUE BOX SURG
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14642-1301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-275-1486
Provider Business Practice Location Address Fax Number:
585-275-8513
Provider Enumeration Date:
02/08/2006