Provider First Line Business Practice Location Address:
2950 ELMWOOD AVENUE
Provider Second Line Business Practice Location Address:
KENMORE MERCY HOSPITAL
Provider Business Practice Location Address City Name:
KENMORE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-447-6100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/25/2006