The New York Gracie Square Hospital Inc
Director
							Smita Agarkar, M.D.
			Expiration Date
							Phone Number
							(212) 434-5322
			UID (Facility ID - Site ID)
							L490-0000
			Site ID
							0000
			City
							New York
			CLIA Number
							33D0941969
			Street Address
							420 East 76th St
			State
							NY
			Zip Code
							10021
			County
							New York
			Country
							United States
			Fax Number
							(212) 434-5373
			Primary Contact
							Timothy P McGarvey
			Contact Phone Number
							(212) 434-5314
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							L490
			