New York Dialysis Services Inc dba FKC - Bellmore
Director
							Douglas Lax, D.O.
			Expiration Date
							Phone Number
							(516) 679-3090
			UID (Facility ID - Site ID)
							Y667-0000
			Site ID
							0000
			City
							Bellmore
			CLIA Number
							33D2187301
			Street Address
							250 Pettit Ave
			State
							NY
			Zip Code
							11710
			County
							Nassau
			Country
							United States
			Fax Number
							(516) 679-3094
			Primary Contact
							Natalie Sfeliniotis
			Contact Phone Number
							(727) 412-4962
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							Y667
			