Provider First Line Business Practice Location Address:
1425 PORTLAND AVENUE
Provider Second Line Business Practice Location Address:
PATHOLOGY
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-922-4121
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2007