Pepsi Queens - Onsite Medical Clinic
Name
Pepsi Queens - Onsite Medical Clinic
Director
Brian W Shinkle, D.O.
Expiration Date
Phone Number
(718) 392-1000
UID (Facility ID - Site ID)
X151-0000
Site ID
0000
City
College Point
CLIA Number
33D2136737
Street Address
11202 15th Avenue
State
NY
Zip Code
11356
County
New York
Country
United States
Fax Number
(718) 382-6547
Primary Contact
Toledo Ayers
Contact Phone Number
(856) 394-2358
Certificate Type
WAIVER
Tests
Drugs of Abuse
Facility ID
X151