Hauppauge Dialysis Center
Director
							Rupesh R Mehta, M.D.
			Expiration Date
							Phone Number
							(631) 761-6605
			UID (Facility ID - Site ID)
							R996-0000
			Site ID
							0000
			City
							Hauppauge
			CLIA Number
							33D1075995
			Street Address
							30 Central Avenue
			State
							NY
			Zip Code
							11788
			County
							Suffolk
			Country
							United States
			Fax Number
							(631) 761-6608
			Primary Contact
							Lalita Budhu
			Contact Phone Number
							(516) 524-7606
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							R996
			