Extended Home Care
Name
Extended Home Care
Director
Galina Samoylovich, N.P.
Expiration Date
Phone Number
(212) 356-4200
UID (Facility ID - Site ID)
T376-0000
Site ID
0000
City
Brooklyn
CLIA Number
33D2029053
Street Address
2003 Coney Island Ave
State
NY
Zip Code
11223
County
New York
Country
United States
Fax Number
(212) 563-9124
Primary Contact
Jaclyn Diana
Contact Phone Number
(212) 356-4200
Certificate Type
WAIVER
Tests
Glucose
Facility ID
T376