Good Shepherd Services dba Green House
Director
							Michelle D Neier, M.D.
			Expiration Date
							Phone Number
							(212) 475-4245
			UID (Facility ID - Site ID)
							F165-0005
			Site ID
							0005
			City
							Bronx
			CLIA Number
							33D2259709
			Street Address
							2190 Dr Martin Luther King Jr Blvd
			State
							NY
			Zip Code
							10453
			County
							Bronx
			Country
							United States
			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