33D0147614 CLIA NUMBER - HERMAN TESSLER MD

Laboratory Demographics

CLIA Number: 33D0147614

Facility Name: HERMAN TESSLER MD

Facility Address:
1443 OCEAN PARKWAY
BROOKLYN, NY
ZIP 11230
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Facility Phone Number: 718 376-9494

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033119045

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 33D0147614
LAB Type Physician Office
Facility Name HERMAN TESSLER MD
Street 1443 OCEAN PARKWAY
City BROOKLYN
State NY
ZIP 11230
Phone 718 376-9494
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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