TBHC Physician Services PC Physician Pavilion
Director
							Pratibha Vemulapalli, M.D.
			Expiration Date
							Phone Number
							(718) 250-6100
			UID (Facility ID - Site ID)
							Y672-0000
			Site ID
							0000
			City
							Brooklyn
			CLIA Number
							33D2179699
			Street Address
							86 St Felix St - 8th Floor
			State
							NY
			Zip Code
							11217
			County
							Kings
			Country
							United States
			Fax Number
							(718) 250-6110
			Primary Contact
							Darleen Daley
			Contact Phone Number
							(718) 250-8010
			Certificate Type
							WAIVER
			Tests
				Glucose
							Glycosylated Hemoglobin
							Pregnancy Test (Urine)
							Urinalysis
					Facility ID
							Y672
			