Provider First Line Business Practice Location Address:
250B LUCIUS GORDON DR
Provider Second Line Business Practice Location Address:
HENRIETTA PSYCHIATRIC NP CARE, PLLC
Provider Business Practice Location Address City Name:
WEST HENRIETTA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14586
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-471-3407
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/20/2010