Ellenville and Ellenville Women's Vets
Director
							Tatiana Gouskova, M.D.
			Expiration Date
							Phone Number
							(845) 647-4592
			UID (Facility ID - Site ID)
							T758-0005
			Site ID
							0005
			City
							Ellenville
			CLIA Number
							33D2054034
			Street Address
							751 Briggs Hwy
			State
							NY
			Zip Code
							12428
			County
							Ulster
			Country
							United States
			Fax Number
							(845) 701-1601
			Primary Contact
							Charles Madray
			Contact Phone Number
							(917) 387-6957
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Breath Alcohol
							Drugs of Abuse
							Erythrocyte Sedimentation Rate (ESR)
							Glucose
							Occult Blood
							pH
							Pregnancy Test (Urine)
							HIV, Rapid
							Saliva Alcohol
							Strep A Test
							Urinalysis
					Facility ID
							T758