The Penfield Volunteer Emergency Ambulance Service Inc
Director
							Antonios Katsetos, D.O.
			Expiration Date
							Phone Number
							(585) 872-6060
			UID (Facility ID - Site ID)
							Y917-0000
			Site ID
							0000
			City
							Penfield
			CLIA Number
							33D2184909
			Street Address
							1585 Jackson Rd
			State
							NY
			Zip Code
							14526
			County
							Monroe
			Country
							United States
			Fax Number
							(585) 872-2105
			Primary Contact
							Dustin Mandell
			Contact Phone Number
							(585) 739-0132
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							Y917
			