Provider First Line Business Practice Location Address:
100 HIGH STREET
Provider Second Line Business Practice Location Address:
DIMENSIONS OF INTERNAL MEDICINE - 10TH FLOOR
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14203-3001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-829-2342
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/20/2009