33D2007500 CLIA NUMBER - YECHIEL Y ZAGELBAUM DO - BORO PARK DBA WILLIAMSBURG PEDIATRICS OF BORO PARK

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Laboratory Demographics

CLIA Number: 33D2007500

Facility Name: YECHIEL Y ZAGELBAUM DO - BORO PARK DBA WILLIAMSBURG PEDIATRICS OF BORO PARK

Facility Address:
1425 54TH STREET
BROOKLYN, NY
ZIP 11219
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Facility Phone Number: 718 438-0666

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1780949107

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	33D2007500
LAB Type	Physician Office
Facility Name	YECHIEL Y ZAGELBAUM DO - BORO PARK DBA WILLIAMSBURG PEDIATRICS OF BORO PARK
Street	1425 54TH STREET
City	BROOKLYN
State	NY
ZIP	11219
Phone	718 438-0666
CertificateType	2
CertificateEffectiveDate	8/10/2023
CertificateExpirationDate	8/9/2025
FacilityType	Compliance

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