Provider First Line Business Practice Location Address:
900 ELMGROVE RD
Provider Second Line Business Practice Location Address:
GENESIS PEDIATRICS, LLC
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14624-6236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-426-4100
Provider Business Practice Location Address Fax Number:
585-426-3701
Provider Enumeration Date:
04/09/2014