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33D1005332 CLIA NUMBER - DEAN P PAPPAS MD PC DBA COLON & RECTAL SURGICAL SPECIALISTS OF NY

Laboratory Demographics

CLIA Number: 33D1005332

Facility Name: DEAN P PAPPAS MD PC DBA COLON & RECTAL SURGICAL SPECIALISTS OF NY

Facility Address:
1100 FRANKLIN AVENUE, SUITE 203
GARDEN CITY, NY
ZIP 11530
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Facility Phone Number: 516 248-2422

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1942205901

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 33D1005332
LAB Type Physician Office
Facility Name DEAN P PAPPAS MD PC DBA COLON & RECTAL SURGICAL SPECIALISTS OF NY
Street 1100 FRANKLIN AVENUE, SUITE 203
City GARDEN CITY
State NY
ZIP 11530
Phone 516 248-2422
CertificateType 4
CertificateEffectiveDate 7/20/2023
CertificateExpirationDate 7/19/2025
FacilityType Waiver

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