NYU Langone Hospital - Suffolk
Director
							Mansoor M. Nasim, M.D., Ph.D.
			Expiration Date
							Phone Number
							(631) 687-2828
			UID (Facility ID - Site ID)
							R978-0000
			Site ID
							0000
			City
							Patchogue
			CLIA Number
							33D1075731
			Street Address
							109 W Main St
			State
							NY
			Zip Code
							11772
			County
							Suffolk
			Country
							United States
			Fax Number
							(631) 687-2879
			Primary Contact
							Nahed C Ali
			Contact Phone Number
							(631) 687-7188
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							R978
			