EB Care at Massapequa LLC dba The Bristal at Massapequa
Name
EB Care at Massapequa LLC dba The Bristal at Massapequa
Director
Mohammud M Alam, M.D.
Expiration Date
Phone Number
(516) 804-7200
UID (Facility ID - Site ID)
Z673-0000
Site ID
0000
City
Massapequa
CLIA Number
33D2205495
Street Address
400 County Line Rd
State
NY
Zip Code
11758
County
Nassau
Country
United States
Fax Number
(516) 804-7204
Primary Contact
Jennifer Amarante
Contact Phone Number
(516) 804-7396
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Glucose
Facility ID
Z673