Staten Island South Dialysis
Name
Staten Island South Dialysis
Director
Jaudat H Khan, M.D.
Expiration Date
Phone Number
(718) 356-2678
UID (Facility ID - Site ID)
Y102-0000
Site ID
0000
City
Staten Island
CLIA Number
33D2162376
Street Address
30 Sneden Ave
State
NY
Zip Code
10312
County
Richmond
Country
United States
Fax Number
(718) 356-6376
Primary Contact
Ms. Carrie Pence
Contact Phone Number
(615) 341-6410
Certificate Type
WAIVER
Tests
Glucose
Facility ID
Y102