33D2148210 CLIA NUMBER - ENDOCRINE ASSOCIATE OF WEST VILLAGE PC

Laboratory Demographics

CLIA Number: 33D2148210

Facility Name: ENDOCRINE ASSOCIATE OF WEST VILLAGE PC

Facility Address:
36-36 33RD STREET - SUITE 311
LONG ISLAND CITY, NY
ZIP 11106
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Facility Phone Number: 718 704-5376

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1992007819

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	33D2148210
LAB Type	Physician Office
Facility Name	ENDOCRINE ASSOCIATE OF WEST VILLAGE PC
Street	36-36 33RD STREET - SUITE 311
City	LONG ISLAND CITY
State	NY
ZIP	11106
Phone	718 704-5376
CertificateType	2
CertificateEffectiveDate	8/1/2019
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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