Camelot Outpatient
Name
Camelot Outpatient
Director
Guy Pean, M.D.
Expiration Date
Phone Number
(718) 981-8117
UID (Facility ID - Site ID)
Y119-0004
Site ID
0004
City
Staten Island
CLIA Number
33D2163046
Street Address
1268 Forest Ave
State
NY
Zip Code
10302
County
Richmond
Country
United States
Fax Number
(718) 632-1568
Primary Contact
Carl Feren
Contact Phone Number
(718) 412-3155
Certificate Type
WAIVER
Tests
Drugs of Abuse
Saliva Alcohol
Urinalysis
Facility ID
Y119