Queens Village Dialysis Center
Name
Queens Village Dialysis Center
Director
Lionel E Desroches, M.D.
Expiration Date
Phone Number
(718) 217-6200
UID (Facility ID - Site ID)
R046-0000
Site ID
0000
City
Queens Village
CLIA Number
33D1028973
Street Address
22202 Hempstead Avenue Ste. 170
State
NY
Zip Code
11429-2123
County
Queens
Country
United States
Fax Number
(718) 217-4191
Primary Contact
Carrie Pence
Contact Phone Number
(615) 341-6410
Certificate Type
WAIVER
Tests
Glucose
Facility ID
R046