Provider First Line Business Practice Location Address:
87 N CLINTON 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:
14604-1455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-546-7220
Provider Business Practice Location Address Fax Number:
585-770-1116
Provider Enumeration Date:
02/20/2012