Peconic Landing at Southold Inc
Name
Peconic Landing at Southold Inc
Director
Nathanael Desire, D.O.
Expiration Date
Phone Number
(631) 477-4217
UID (Facility ID - Site ID)
Z190-0000
Site ID
0000
City
Greenport
CLIA Number
33D2194592
Street Address
1500 Brecknock Rd
State
NY
Zip Code
11944
County
Suffolk
Country
United States
Fax Number
(631) 477-3800
Primary Contact
Greg Garrett
Contact Phone Number
(631) 477-4217
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Glucose
Facility ID
Z190