SOMA Medical Services PC
Director
							Nicholas P Roussis, M.D.
			Expiration Date
							Phone Number
							(718) 682-1900
			UID (Facility ID - Site ID)
							D263-0000
			Site ID
							0000
			City
							Staten Island
			CLIA Number
							33D2213487
			Street Address
							236 Richmond Valley Road
			State
							NY
			Zip Code
							10309
			County
							Richmond
			Country
							United States
			Fax Number
							(718) 682-1893
			Primary Contact
							Nicholas Roussis
			Contact Phone Number
							(718) 682-1900
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Community Screening
					Facility ID
							D263
			