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33D0689178 CLIA NUMBER - NYU GREAT NECK MEDICAL

Laboratory Demographics

CLIA Number: 33D0689178

Facility Name: NYU GREAT NECK MEDICAL

Facility Address:
488 GREAT NECK ROAD
GREAT NECK, NY
ZIP 11021
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Facility Phone Number: 516 482-6747

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1700107281

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 33D0689178
LAB Type Physician Office
Facility Name NYU GREAT NECK MEDICAL
Street 488 GREAT NECK ROAD
City GREAT NECK
State NY
ZIP 11021
Phone 516 482-6747
CertificateType 4
CertificateEffectiveDate 12/31/2013
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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