33D0132169 CLIA NUMBER - PHYSICIAN FAMILY HEALTH SERVICE PC

Laboratory Demographics

CLIA Number: 33D0132169

Facility Name: PHYSICIAN FAMILY HEALTH SERVICE PC

Facility Address:
600 W 111TH ST, SUITE 1E
NEW YORK, NY
ZIP 10025
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Facility Phone Number: 212 222-1142

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053656215

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D0132169
LAB Type	Physician Office
Facility Name	PHYSICIAN FAMILY HEALTH SERVICE PC
Street	600 W 111TH ST, SUITE 1E
City	NEW YORK
State	NY
ZIP	10025
Phone	212 222-1142
CertificateType	4
CertificateEffectiveDate	7/9/2023
CertificateExpirationDate	7/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024