Long Island Community Hospital Wound Care
Name
Long Island Community Hospital Wound Care
Director
Charles A Larosa, M.D.
Expiration Date
Phone Number
(631) 227-6650
UID (Facility ID - Site ID)
W391-0000
Site ID
0000
City
Hauppauge
CLIA Number
33D2114386
Street Address
300 Kennedy Drive
State
NY
Zip Code
11788
County
Suffolk
Country
United States
Fax Number
(631) 299-2486
Primary Contact
Ms. Regina Witherspoon
Contact Phone Number
(631) 227-6654
Certificate Type
WAIVER
Tests
Glucose
Facility ID
W391