33D2119344 CLIA NUMBER - WESTCHESTER MED PRAC PC DBA NEW YORK PRESBY-, THE MEDICAL GROUP/HUSDON VALLEY

Laboratory Demographics

  • CLIA Code: 33D2119344
  • Facility Name: WESTCHESTER MED PRAC PC DBA NEW YORK PRESBY-, THE MEDICAL GROUP/HUSDON VALLEY
  • Facility Address: 358 N BROADWAY
    SLEEPY HOLLOW, NY
    ZIP 10591
  • Facility Phone: 914 610-4640
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICARDO ESQUITIN
  • NPI Number: 1740673177
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 33D2119344
LAB Type Physician Office
Facility Name WESTCHESTER MED PRAC PC DBA NEW YORK PRESBY-, THE MEDICAL GROUP/HUSDON VALLEY
Street 358 N BROADWAY
City SLEEPY HOLLOW
State NY
ZIP 10591
Phone 914 610-4640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2016
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. RICARDO ESQUITIN

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This page was last updated on: 9/29/2025