Mather Hospital Northwell Health Wound Treatment Center Port Jefferson
Name
Mather Hospital Northwell Health Wound Treatment Center Port Jefferson
Director
Daniel L Perrault, M.D.
Expiration Date
Phone Number
(631) 474-4590
UID (Facility ID - Site ID)
S050-0000
Site ID
0000
City
Port Jefferson
CLIA Number
33D1078901
Street Address
5225-53 Rte 347 - Bldg 12
State
NY
Zip Code
11776
County
Suffolk
Country
United States
Fax Number
(631) 474-4594
Primary Contact
Donna Hardwicke
Contact Phone Number
(631) 474-4590
Certificate Type
WAIVER
Tests
Glucose
Facility ID
S050