Provider First Line Business Practice Location Address:
UNIVERSITY AT BUFFALO (JACOBS SCHOOL OF MEDICINE AND BI
Provider Second Line Business Practice Location Address:
77 GOODELL ST,. STE 550 UB DOWNTOWN GATEWAY
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-829-6106
Provider Business Practice Location Address Fax Number:
716-842-4170
Provider Enumeration Date:
07/31/2026