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33D0994191 CLIA NUMBER - JACQUELINE DELMONT MD PC

Laboratory Demographics

CLIA Number: 33D0994191

Facility Name: JACQUELINE DELMONT MD PC

Facility Address:
1624 CENTRAL AVENUE
FAR ROCKAWAY, NY
ZIP 11691
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Facility Phone Number: 718 868-1100

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1679052575

Taxonomy: 104100000X - Social Worker
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

CLIA Record

Field Name Field Value
CLIA Number 33D0994191
LAB Type Physician Office
Facility Name JACQUELINE DELMONT MD PC
Street 1624 CENTRAL AVENUE
City FAR ROCKAWAY
State NY
ZIP 11691
Phone 718 868-1100
CertificateType 4
CertificateEffectiveDate 12/7/2023
CertificateExpirationDate 12/6/2025
FacilityType Waiver

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