Onsite Medical Clinic at Coke - Bronx
Director
							Brian W Shinkle, D.O.
			Expiration Date
							Phone Number
							(718) 401-5286
			UID (Facility ID - Site ID)
							Y328-0000
			Site ID
							0000
			City
							Bronx
			CLIA Number
							33D2167671
			Street Address
							977 E 149th Street
			State
							NY
			Zip Code
							10455
			County
							Bronx
			Country
							United States
			Fax Number
							(856) 324-9095
			Primary Contact
							Toledo Ayers
			Contact Phone Number
							(856) 394-2358
			Certificate Type
							WAIVER
			Tests
				Drugs of Abuse
							Glucose
							Urinalysis
					Facility ID
							Y328