Genesis Renal Care
Name
Genesis Renal Care
Director
Alla Goldberg, M.D.
Expiration Date
Phone Number
(646) 931-1000
UID (Facility ID - Site ID)
W514-0000
Site ID
0000
City
Glendale
CLIA Number
33D2117603
Street Address
74-07 88th Street
State
NY
Zip Code
11385
County
Queens
Country
United States
Fax Number
(718) 275-0456
Primary Contact
Miles Davis
Contact Phone Number
(646) 931-1000
Certificate Type
WAIVER
Tests
Glucose
Facility ID
W514