Park Avenue Extended Care Facility
Director
							Polina Khanina, M.D.
			Expiration Date
							Phone Number
							(516) 431-2600
			UID (Facility ID - Site ID)
							M729-0000
			Site ID
							0000
			City
							Long Beach
			CLIA Number
							33D0965492
			Street Address
							425 National Blvd
			State
							NY
			Zip Code
							11561
			County
							Nassau
			Country
							United States
			Fax Number
							(516) 670-3166
			Primary Contact
							Vicky Shaw
			Contact Phone Number
							(516) 431-2600
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Glucose
							Influenza
					Facility ID
							M729
			