DCI - New Vanderbilt Dialysis Center
Director
							Joel A Blush, M.D.
			Expiration Date
							Phone Number
							(718) 420-1934
			UID (Facility ID - Site ID)
							W993-0000
			Site ID
							0000
			City
							Staten Island
			CLIA Number
							33D2130383
			Street Address
							135 Vanderbilt Avenue
			State
							NY
			Zip Code
							10304
			County
							Richmond
			Country
							United States
			Fax Number
							(718) 273-1949
			Primary Contact
							Wayne Dwyer
			Contact Phone Number
							(718) 420-1934
			Certificate Type
							WAIVER
			Tests
				Glucose
							HIV, Rapid
					Facility ID
							W993
			