LSL Newburgh LLC dba Liberty Hudson Valley Dialysis
Name
LSL Newburgh LLC dba Liberty Hudson Valley Dialysis
Director
Susmitha Dhanyamraju, M.D.
Expiration Date
Phone Number
(845) 534-9820
UID (Facility ID - Site ID)
S932-0000
Site ID
0000
City
Cornwall
CLIA Number
33D2009606
Street Address
19 Laurel Avenue, First Floor
State
NY
Zip Code
12518
County
Orange
Country
United States
Fax Number
(845) 534-9825
Primary Contact
Sharon Alexander
Contact Phone Number
(845) 534-9820
Certificate Type
WAIVER
Tests
Glucose
Facility ID
S932