33D1099826 CLIA NUMBER - MARK D EPSTEIN MD

Laboratory Demographics

CLIA Number: 33D1099826

Facility Name: MARK D EPSTEIN MD

Facility Address:
200 MOTOR PARKWAY, STE B12
HAUPPAUGE, NY
ZIP 11788
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Facility Phone Number: 631 689-1100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457609372

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	33D1099826
LAB Type	Physician Office
Facility Name	MARK D EPSTEIN MD
Street	200 MOTOR PARKWAY, STE B12
City	HAUPPAUGE
State	NY
ZIP	11788
Phone	631 689-1100
CertificateType	4
CertificateEffectiveDate	5/22/2023
CertificateExpirationDate	5/21/2025
FacilityType	Waiver

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