Long Island Community Hospital Outpatient Chemical Dependency Program
Director
							Shashi Berdia, M.D.
			Expiration Date
							Phone Number
							(929) 573-0487
			UID (Facility ID - Site ID)
							D447-0000
			Site ID
							0000
			City
							Shirley
			CLIA Number
							33D2215391
			Street Address
							550 Montauk Highway
			State
							NY
			Zip Code
							11967
			County
							Suffolk
			Country
							United States
			Fax Number
							(332) 210-7707
			Primary Contact
							John Paladino
			Contact Phone Number
							(631) 654-7359
			Certificate Type
							WAIVER
			Tests
				Breath Alcohol
							Drugs of Abuse
							Pregnancy Test (Urine)
					Facility ID
							D447
			