Nutrition Clinic
Director
							Ilene Tannenbaum, N.P.
			Expiration Date
							Phone Number
							71895150006699
			UID (Facility ID - Site ID)
							M594-0001
			Site ID
							0001
			City
							Brooklyn
			CLIA Number
							33D0892678
			Street Address
							2900 Bedford Ave -326 New Ingersoll
			State
							NY
			Zip Code
							11210
			County
							Kings
			Country
							United States
			Fax Number
							(718) 360-5704
			Primary Contact
							Weblyn Michel
			Contact Phone Number
							71895150002745
			Certificate Type
							PPMP
			Tests
				Cholesterol
							Direct Wet Mount Preps
							Glucose
							Glycosylated Hemoglobin
							HDL Cholesterol
							Occult Blood
							Potassium Hydroxide (KOH Preps)
							pH
							Pregnancy Test (Urine)
							HIV, Rapid
							Strep A Test
							Triglycerides
							Urinalysis
					Facility ID
							M594
			