Provider First Line Business Practice Location Address:
699 HERTEL AVE.
Provider Second Line Business Practice Location Address:
INDUSTRIAL MEDICINE OFFICE
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-323-0312
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2007