Brentwood Legion Ambulance Service Inc
Name
Brentwood Legion Ambulance Service Inc
Director
Brian S Blaustein, D.O.
Expiration Date
Phone Number
(631) 273-3701
UID (Facility ID - Site ID)
G271-0000
Site ID
0000
City
Brentwood
CLIA Number
33D2295725
Street Address
29 3rd Ave
State
NY
Zip Code
11717
County
Suffolk
Country
United States
Fax Number
(631) 951-4513
Primary Contact
Andrew Viskovich
Contact Phone Number
(631) 560-7120
Certificate Type
WAIVER
Tests
Glucose
Facility ID
G271