Provider First Line Business Practice Location Address:
100 HIGH STREET 2ND FL, BLDG. D
Provider Second Line Business Practice Location Address:
BUFFALO GENERAL HOSPITAL ATTN. EVA TAMOGA NEU
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:
716-859-7529
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/25/2013