Provider First Line Business Practice Location Address:
140 HODGE AVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF NEUROLOGY - WCHOB
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14222-2034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-878-7840
Provider Business Practice Location Address Fax Number:
716-878-7326
Provider Enumeration Date:
08/28/2008