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33D2031395 CLIA NUMBER - CITY MEDICAL UPPER EAST SIDE PLLC DBA SUMMIT HEALTH

Laboratory Demographics

CLIA Number: 33D2031395

Facility Name: CITY MEDICAL UPPER EAST SIDE PLLC DBA SUMMIT HEALTH

Facility Address:
375 EAST MAIN STREET, SUITE 1
BAYSHORE, NY
ZIP 11706
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Facility Phone Number: 631 665-8790

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1942484423

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 33D2031395
LAB Type Physician Office
Facility Name CITY MEDICAL UPPER EAST SIDE PLLC DBA SUMMIT HEALTH
Street 375 EAST MAIN STREET, SUITE 1
City BAYSHORE
State NY
ZIP 11706
Phone 631 665-8790
CertificateType 4
CertificateEffectiveDate 10/19/2023
CertificateExpirationDate 10/18/2025
FacilityType Waiver

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