Good Shepherd Services dba Barbara Blum Residence
Director
							Michelle D Neier, M.D.
			Expiration Date
							Phone Number
							(718) 788-0666
			UID (Facility ID - Site ID)
							F165-0004
			Site ID
							0004
			City
							Brooklyn
			CLIA Number
							33D2259709
			Street Address
							480 Vermont St
			State
							NY
			Zip Code
							11207
			County
							Kings
			Country
							United States
			Fax Number
							(718) 425-0460
			Primary Contact
							Melinda Trueblood
			Contact Phone Number
							(212) 475-4245
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Drugs of Abuse
							Pregnancy Test (Urine)
							Strep A Test
					Facility ID
							F165