We use Plainview Pet Clinic. It is about a 20 minute or so drive from Rochester but EXCELLENT service and a much lower cost (I pay about half of what I was paying in Rochester). I switched out there about 6 years ago when my dog became very afraid of going to the vet she was seeing. I don't know what happened, but she LOVES going to Plainview and gets excited to see all the friendly staff there. I highly recommend if you do not mind a small scenic drive.