BROCKPORT VINE MEDICAL PC

BROCKPORT, NY
NPI1871144543
Entity TypeOrganization
Authorized ContactALEX FAHOURY
Owner
585-208-8668
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2019-09-24
Last Update Date2020-01-03
Business Address
BROCKPORT VINE MEDICAL PC
122 WEST AVE STE 6
BROCKPORT, NY 14420-1225
Phone number: 585-208-8668
Mailing Address
BROCKPORT VINE MEDICAL PC
67 SARAH CIR
SPENCERPORT, NY 14559-9592
Phone number: 585-208-8668