Cosmetic Surgery of New York PC
Name
Cosmetic Surgery of New York PC
Director
Robert A Jacobs, M.D.
Expiration Date
Phone Number
(631) 473-7070
UID (Facility ID - Site ID)
E023-0000
Site ID
0000
City
Port Jefferson Sta
CLIA Number
33D2225039
Street Address
4616 Nesconset Hwy
State
NY
Zip Code
11776
County
Suffolk
Country
United States
Fax Number
(631) 331-2654
Primary Contact
Dawn Riske
Contact Phone Number
(631) 473-7070
Certificate Type
WAIVER
Tests
Glucose
Total Protein
Facility ID
E023