Provider First Line Business Practice Location Address:
2263 CLINTON AVE S
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:
14618-2623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-241-6400
Provider Business Practice Location Address Fax Number:
585-241-6505
Provider Enumeration Date:
09/17/2008