Provider First Line Business Practice Location Address:
55 GENESEE ST BK BUILDING 1ST FLR
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:
14611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-368-3591
Provider Business Practice Location Address Fax Number:
585-368-3620
Provider Enumeration Date:
06/30/2006