Elmcor Youth and Adult Activities Inc
Name
Elmcor Youth and Adult Activities Inc
Director
Stefan G Kantrowitz, M.D.
Expiration Date
Phone Number
(718) 651-0096
UID (Facility ID - Site ID)
Y014-0000
Site ID
0000
City
Corona
CLIA Number
33D2159992
Street Address
107-20 Northern Blvd
State
NY
Zip Code
11368
County
Queens
Country
United States
Fax Number
(718) 533-1357
Primary Contact
Paul Faulk
Contact Phone Number
(718) 651-0096
Certificate Type
WAIVER
Tests
Breath Alcohol
Creatinine
Drugs of Abuse
Ethanol
HIV, Rapid
Saliva Alcohol
Facility ID
Y014