Life Net NY Ticonderoga
Name
Life Net NY Ticonderoga
Director
Warren Hayashi, M.D.
Expiration Date
Phone Number
(518) 558-1041
UID (Facility ID - Site ID)
Y610-0000
Site ID
0000
City
Ticonderoga
CLIA Number
33D2188201
Street Address
1207 NYS Rte 9N
State
NY
Zip Code
12883
County
Essex
Country
United States
Primary Contact
Steven Palmer
Contact Phone Number
(443) 521-3508
Certificate Type
WAIVER
Tests
Glucose
Facility ID
Y610