Smithtown ASC LLC
Director
Forohar Farzad, M.D.
Expiration Date
Phone Number
(631) 724-5300
UID (Facility ID - Site ID)
R291-0000
Site ID
0000
City
Nesconset
CLIA Number
33D2344548
Street Address
61 Southern Blvd
State
NY
Zip Code
11767
County
Suffolk
Country
United States
Primary Contact
Tatiana Shestakova
Contact Phone Number
(917) 834-8825
Certificate Type
WAIVER
Tests
Glucose
Pregnancy Test (Urine)
Facility ID
R291