Provider First Line Business Practice Location Address:
715 PLANK ROAD
Provider Second Line Business Practice Location Address:
PLANK ROAD SOUTH ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
WEBSTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14580
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-671-3190
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/01/2011