Susan Wagner School Based Health Clinic
Director
							Svetoslav S. Bardarov, M.D.
			Expiration Date
							Phone Number
							(718) 818-4442
			UID (Facility ID - Site ID)
							Y341-0000
			Site ID
							0000
			City
							Staten Island
			CLIA Number
							33D2169213
			Street Address
							1200 Manor Rd
			State
							NY
			Zip Code
							10314
			County
							Richmond
			Country
							United States
			Fax Number
							(718) 818-2273
			Primary Contact
							Ann Marie Brown
			Contact Phone Number
							(718) 818-3061
			Certificate Type
							WAIVER
			Tests
				Glucose
							Pregnancy Test (Urine)
							Urinalysis
					Facility ID
							Y341