Avantus Harlem Green Dialysis Center
Name
Avantus Harlem Green Dialysis Center
Director
Steven D Smith, M.D.
Expiration Date
Phone Number
(212) 866-0206
UID (Facility ID - Site ID)
U468-0000
Site ID
0000
City
New York
CLIA Number
33D2082707
Street Address
488 W 128th St - 2nd Floor
State
NY
Zip Code
10027
County
New York
Country
United States
Fax Number
(212) 866-0964
Primary Contact
KC Singgo
Contact Phone Number
(929) 637-3493
Certificate Type
WAIVER
Tests
Glucose
Facility ID
U468