East Patchogue Dialysis
Name
East Patchogue Dialysis
Director
Mohammed S Rahman, M.D.
Expiration Date
Phone Number
(631) 447-2401
UID (Facility ID - Site ID)
Z242-0000
Site ID
0000
City
Patchogue
CLIA Number
33D2192303
Street Address
479 E Main St
State
NY
Zip Code
11772
County
Suffolk
Country
United States
Fax Number
(631) 447-2406
Primary Contact
Carrie Pence
Contact Phone Number
(615) 341-6410
Certificate Type
WAIVER
Tests
Glucose
Facility ID
Z242