Provider First Line Business Practice Location Address: 
UNIVERSITY OF ROCHESTER MC DEPT OF PATHOLOGY
    Provider Second Line Business Practice Location Address: 
601 ELMWOOD AVE BOX 608
    Provider Business Practice Location Address City Name: 
ROCHESTER
    Provider Business Practice Location Address State Name: 
NY
    Provider Business Practice Location Address Postal Code: 
14642-0001
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
585-275-0985
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
08/16/2006