Provider First Line Business Practice Location Address: 
350 PARRISH ST
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
CANANDAIGUA
    Provider Business Practice Location Address State Name: 
NY
    Provider Business Practice Location Address Postal Code: 
14424-1731
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
585-396-6000
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
06/16/2006