St Joseph's Dialysis - Northeast
Name
St Joseph's Dialysis - Northeast
Director
Pawan K. Rao, M.D.
Expiration Date
Phone Number
(315) 329-2580
UID (Facility ID - Site ID)
F662-0000
Site ID
0000
City
Fayetteville
CLIA Number
33D2273761
Street Address
4105 Medical Ctr Dr - 1st Fl Rm 105
State
NY
Zip Code
13066
County
Onondaga
Country
United States
Fax Number
(315) 744-1946
Primary Contact
Aimee Heidelberger
Contact Phone Number
(315) 329-2580
Certificate Type
WAIVER
Tests
Glucose
Facility ID
F662