Provider First Line Business Practice Location Address:
127 WEST MAIN STREET
Provider Second Line Business Practice Location Address:
LEROY MEDICAL ASSOCIATES
Provider Business Practice Location Address City Name:
LEROY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14482-1317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-768-2620
Provider Business Practice Location Address Fax Number:
585-768-2694
Provider Enumeration Date:
04/15/2013