BV Lake Tappan Operator LLC
Name
BV Lake Tappan Operator LLC
Director
Andrew Lyons, M.D.
Expiration Date
Phone Number
(845) 474-2050
UID (Facility ID - Site ID)
X739-0000
Site ID
0000
City
Orangeburg
CLIA Number
33D2154402
Street Address
31 Hunt Rd
State
NY
Zip Code
10962
County
Rockland
Country
United States
Fax Number
(845) 458-8271
Primary Contact
Nikki Cox
Contact Phone Number
(845) 474-2050
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Glucose
Facility ID
X739