33D0878269 CLIA NUMBER - PILLITTERI OBSTETRICS AND GYNECOLOGY

Laboratory Demographics

CLIA Number: 33D0878269

Facility Name: PILLITTERI OBSTETRICS AND GYNECOLOGY

Facility Address:
2017 DEER PARK AVE
DEER PARK, NY
ZIP 11729
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Facility Phone Number: 631 242-7444

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801102165

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	33D0878269
LAB Type	Physician Office
Facility Name	PILLITTERI OBSTETRICS AND GYNECOLOGY
Street	2017 DEER PARK AVE
City	DEER PARK
State	NY
ZIP	11729
Phone	631 242-7444
CertificateType	4
CertificateEffectiveDate	10/21/2023
CertificateExpirationDate	10/20/2025
FacilityType	Waiver

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