Provider First Line Business Practice Location Address:
20 ALUMNI ARENA
Provider Second Line Business Practice Location Address:
THE STATE UNIVERSITY OF NEW YORK AT BUFFALO
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14260-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-645-3438
Provider Business Practice Location Address Fax Number:
716-645-3085
Provider Enumeration Date:
02/15/2007