EB Care at Lake Success LLC dba The Bristal at Lake Success
Name
EB Care at Lake Success LLC dba The Bristal at Lake Success
Director
Farzin Sehati, D.O.
Expiration Date
Phone Number
(516) 600-1800
UID (Facility ID - Site ID)
Z676-0000
Site ID
0000
City
Lake Success
CLIA Number
33D2205501
Street Address
69 N Service Rd
State
NY
Zip Code
11020
County
Nassau
Country
United States
Fax Number
(516) 600-1900
Primary Contact
AnnMarie Coombs
Contact Phone Number
(516) 600-1850
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Glucose
Facility ID
Z676