Provider First Line Business Practice Location Address:
NYS/OMH ROCHESTER PSYC. CENTER
Provider Second Line Business Practice Location Address:
1111 ELMWOOD AVE
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14620-3005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-241-1700
Provider Business Practice Location Address Fax Number:
585-241-1330
Provider Enumeration Date:
01/01/2018