Provider First Line Business Practice Location Address:
2233 CLIFFORD AVE
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:
14609-3728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-288-1462
Provider Business Practice Location Address Fax Number:
585-224-0383
Provider Enumeration Date:
01/24/2007