Sysco Long Island
Director
Amanda Hagen, M.D.
Expiration Date
Phone Number
(631) 342-7601
UID (Facility ID - Site ID)
H471-0000
Site ID
0000
City
Central Islip
CLIA Number
33D2335308
Street Address
199 Lowell Ave
State
NY
Zip Code
11722
County
Suffolk
Country
United States
Fax Number
(887) 453-7034
Primary Contact
Qin Wang
Contact Phone Number
(631) 342-7601
Certificate Type
WAIVER
Tests
Drugs of Abuse
Ethanol
Glucose
Urinalysis
Facility ID
H471