Bon Secours Medical Group
Director
							Scott A Bernstein, M.D.
			Expiration Date
							Phone Number
							(845) 291-0966
			UID (Facility ID - Site ID)
							W994-0015
			Site ID
							0015
			City
							Goshen
			CLIA Number
							33D1082843
			Street Address
							1 Hatfield Lane - Suite 1B
			State
							NY
			Zip Code
							10924
			County
							Orange
			Country
							United States
			Fax Number
							(845) 291-0983
			Primary Contact
							Corey Deixler
			Contact Phone Number
							(845) 291-0966
			Certificate Type
							WAIVER
			Tests
				Glucose
							Glycosylated Hemoglobin
							Hemoglobin
							Influenza
							Mononucleosis
							Occult Blood
							Protime
							Pregnancy Test (Urine)
							Strep A Test
							Urinalysis
					Facility ID
							W994
			