Fifth Avenue Surgery Center Extension Clinic
Director
							Christopher Kyriakides, D.O.
			Expiration Date
							Phone Number
							(646) 233-5000
			UID (Facility ID - Site ID)
							D998-0000
			Site ID
							0000
			City
							New York
			CLIA Number
							33D2224539
			Street Address
							305 E 47th St
			State
							NY
			Zip Code
							10017
			County
							New York
			Country
							United States
			Fax Number
							(646) 233-5001
			Primary Contact
							Rod Mamonov
			Contact Phone Number
							(347) 639-5684
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Drugs of Abuse
							Glucose
							Pregnancy Test (Urine)
							COVID-19 MOLECULAR
					Facility ID
							D998