New East Side Nursing Home LLC
Director
							Charles L. Knoll, M.D.
			Expiration Date
							Phone Number
							(212) 673-8500
			UID (Facility ID - Site ID)
							R973-0000
			Site ID
							0000
			City
							New York
			CLIA Number
							33D1074648
			Street Address
							25 Bialystoker Place
			State
							NY
			Zip Code
							10002
			County
							New York
			Country
							United States
			Fax Number
							(212) 673-0389
			Primary Contact
							Corrado O Mastropierro
			Contact Phone Number
							(212) 673-8500
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							R973
			