Provider First Line Business Practice Location Address:
33 ASH ST
Provider Second Line Business Practice Location Address:
BPS SPEECH DEPARTMENT, SCHOOL #12
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14204-1445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-864-8950
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2010