Provider First Line Business Practice Location Address:
1415 MONROE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14618-1007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-760-4981
Provider Business Practice Location Address Fax Number:
585-262-3325
Provider Enumeration Date:
01/07/2009