Endoscopy and Pain Management Ext Clinic of South Shore Univ Hospital
Director
Dominick S. Giovanniello, D.O., M.D.
Expiration Date
Phone Number
(631) 465-3550
UID (Facility ID - Site ID)
W814-0000
Site ID
0000
City
Brentwood
CLIA Number
33D2130780
Street Address
39 Brentwood Rd - 1st Floor Ste 102
State
NY
Zip Code
11706
County
Suffolk
Country
United States
Fax Number
(631) 465-3591
Primary Contact
Robert Hasley
Contact Phone Number
(516) 946-1419
Certificate Type
WAIVER
Tests
Glucose
Influenza
Pregnancy Test (Urine)
Strep A Test
Facility ID
W814