Endoscopy and Pain Management Ext Clinic of South Shore Univ Hospital
Name
Endoscopy and Pain Management Ext Clinic of South Shore Univ Hospital
Director
Dominick S. Giovanniello, D.O., M.D.
Expiration Date
Phone Number
(631) 465-3550
UID (Facility ID - Site ID)
W814-0000
Site ID
0000
City
Brentwood
CLIA Number
33D2130780
Street Address
39 Brentwood Rd - 1st Floor Ste 102
State
NY
Zip Code
11706
County
Suffolk
Country
United States
Fax Number
(631) 465-3591
Primary Contact
Robert Hasley
Contact Phone Number
(516) 946-1419
Certificate Type
WAIVER
Tests
Glucose
Influenza
Pregnancy Test (Urine)
Strep A Test
Facility ID
W814