Port Jefferson ASC LLC
Director
Ajay E Chitkara, M.D.
Expiration Date
Phone Number
(631) 828-5555
UID (Facility ID - Site ID)
X164-0000
Site ID
0000
City
Port Jefferson Sta
CLIA Number
33D2141489
Street Address
1500 Route 112 - Bldg 3
State
NY
Zip Code
11776
County
Suffolk
Country
United States
Fax Number
(631) 828-5544
Primary Contact
Anthony Filetto
Contact Phone Number
(631) 828-5555
Certificate Type
WAIVER
Tests
Glucose
Hemoglobin
Hematocrit
Pregnancy Test (Urine)
Facility ID
X164