South Shore Clinic
Director
							Erik R Fink, M.D.
			Expiration Date
							Phone Number
							(631) 309-6811
			UID (Facility ID - Site ID)
							F204-0001
			Site ID
							0001
			City
							Bay Shore
			CLIA Number
							33D2256974
			Street Address
							1448 5th Ave
			State
							NY
			Zip Code
							11706
			County
							Suffolk
			Country
							United States
			Fax Number
							(631) 292-6898
			Primary Contact
							Christian Racine
			Contact Phone Number
							(631) 935-2342
			Certificate Type
							WAIVER
			Tests
				Breath Alcohol
							Drugs of Abuse
							Pregnancy Test (Urine)
					Facility ID
							F204