Mamakating First Aid Squad Inc
Director
Nicki E Maxwell, M.D.
Expiration Date
Phone Number
(845) 888-2544
UID (Facility ID - Site ID)
H026-0000
Site ID
0000
City
Wurtsboro
CLIA Number
33D2316946
Street Address
68 Sullivan St
State
NY
Zip Code
12790
County
Sullivan
Country
United States
Primary Contact
Peter C Goodman
Contact Phone Number
(845) 798-4154
Certificate Type
WAIVER
Tests
Glucose
Facility ID
H026