Grand Boulevard Dialysis
Name
Grand Boulevard Dialysis
Director
Sushil Sagar, M.D.
Expiration Date
Phone Number
(631) 243-7770
UID (Facility ID - Site ID)
Y474-0000
Site ID
0000
City
Deer Park
CLIA Number
33D2171632
Street Address
860 Grand Blvd
State
NY
Zip Code
11729
County
Suffolk
Country
United States
Fax Number
(631) 243-7775
Primary Contact
Carrie Pence
Contact Phone Number
(615) 341-6410
Certificate Type
WAIVER
Tests
Glucose
Facility ID
Y474