Provider First Line Business Practice Location Address:
2364 LYELL AVE
Provider Second Line Business Practice Location Address:
LYELL HOWARD COMMONS
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14606-5738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-429-5100
Provider Business Practice Location Address Fax Number:
585-429-5101
Provider Enumeration Date:
10/04/2005