Provider First Line Business Practice Location Address:
1555 LONG POND RD
Provider Second Line Business Practice Location Address:
EMERGENCY OBSERVATION UNIT
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14626-4122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-368-7279
Provider Business Practice Location Address Fax Number:
585-368-7045
Provider Enumeration Date:
09/20/2006