33D2136558 CLIA NUMBER - WINTHROP COMMUNITY MEDICAL AFFILIATES PC

Laboratory Demographics

CLIA Number: 33D2136558

Facility Name: WINTHROP COMMUNITY MEDICAL AFFILIATES PC

Facility Address:
250 PATCHOGUE YAPHANK RD - SUITE 5
EAST PATCHOGUE, NY
ZIP 11772
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Facility Phone Number: 631 654-3330

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225408321

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	33D2136558
LAB Type	Physician Office
Facility Name	WINTHROP COMMUNITY MEDICAL AFFILIATES PC
Street	250 PATCHOGUE YAPHANK RD - SUITE 5
City	EAST PATCHOGUE
State	NY
ZIP	11772
Phone	631 654-3330
CertificateType	4
CertificateEffectiveDate	9/12/2017
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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