Staten Island Outpatient Treatment Center
Name
Staten Island Outpatient Treatment Center
Director
Tatiana Gouskova, M.D.
Expiration Date
Phone Number
(718) 981-3136
UID (Facility ID - Site ID)
T758-0018
Site ID
0018
City
Staten Island
CLIA Number
33D2054034
Street Address
1915 Forest Ave
State
NY
Zip Code
10303
County
Richmond
Country
United States
Fax Number
(718) 981-6849
Primary Contact
Charles Madray
Contact Phone Number
(718) 981-3136
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Breath Alcohol
Drugs of Abuse
Erythrocyte Sedimentation Rate (ESR)
Glucose
Occult Blood
pH
Pregnancy Test (Urine)
HIV, Rapid
Saliva Alcohol
Strep A Test
Urinalysis
Facility ID
T758