Orthopaedics Spine and Sports Medicine LLC
Name
Orthopaedics Spine and Sports Medicine LLC
Director
Charles Ruotolo, M.D.
Expiration Date
Phone Number
(855) 321-6784
UID (Facility ID - Site ID)
W461-0000
Site ID
0000
City
Deer Park
CLIA Number
33D2117589
Street Address
2103 Deer Park Avenue
State
NY
Zip Code
11729
County
Suffolk
Country
United States
Fax Number
(516) 795-3036
Primary Contact
Lauren Frantellizzi
Contact Phone Number
(516) 795-3033
Certificate Type
WAIVER
Tests
Drugs of Abuse
Facility ID
W461