Primary Care Ambulance Corp
Director
Anthony L Vassallo, M.D.
Expiration Date
Phone Number
(718) 975-0600
UID (Facility ID - Site ID)
G993-0000
Site ID
0000
City
Staten Island
CLIA Number
33D2311362
Street Address
84 Granite Ave - Ste K
State
NY
Zip Code
10303
County
Richmond
Country
United States
Fax Number
(718) 266-4343
Primary Contact
Michael Sherman
Contact Phone Number
(718) 975-0600
Certificate Type
WAIVER
Tests
Glucose
Facility ID
G993