NYP/Queens Dev Disability Center
Director
							Sebastian Avalese, M.D.
			Expiration Date
							Phone Number
							(718) 670-2731
			UID (Facility ID - Site ID)
							S020-0000
			Site ID
							0000
			City
							Flushing
			CLIA Number
							33D1077613
			Street Address
							59-16 174th Street Lower Level
			State
							NY
			Zip Code
							11365
			County
							Queens
			Country
							United States
			Fax Number
							(718) 747-1261
			Primary Contact
							Bernardo Ortiz
			Contact Phone Number
							(718) 670-2354
			Certificate Type
							WAIVER
			Tests
				Glucose
							Occult Blood
					Facility ID
							S020
			