Provider First Line Business Practice Location Address:
601 ELMWOOD AVENUE, BOX 629
Provider Second Line Business Practice Location Address:
UNIVERSITY OF ROCHESTER MEDICAL CENTER, DEPARTMENT OF O
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14642-8629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-276-5181
Provider Business Practice Location Address Fax Number:
585-271-8552
Provider Enumeration Date:
05/21/2012