Provider First Line Business Practice Location Address:
241 PARRISH ST
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
CANANDAIGUA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14424-1727
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-394-8170
Provider Business Practice Location Address Fax Number:
585-394-8173
Provider Enumeration Date:
08/29/2006